CARILLON NURSING AND REHABILITATION CENTER LLC (NPI# 1265429856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265429856 |
| Entity Type | Organization |
| Organization Name | CARILLON NURSING AND REHABILITATION CENTER LLC |
| Practice Address |
830 Park Ave Huntington NY 11743-4543 |
| Practice Telephone | 6312715800 |
| Practice Fax Number | 6312715806 |
| Mailing Telephone | 6312715800 |
| Mailing Fax Number | 6312715806 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2019-12-27 |
| Authorized Official Name | MR. JOSEPH F CARILLO II (ADMINISTRATOR) |
| Authorized Official Telephone | 6312715800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 5153306N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | 335286 | 01 | |
| NY | 02994934 | 05 |
| Street Address |
830 PARK AVE |
| City | HUNTINGTON |
| State | NY |
| Zip Code | 11743-4543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770111833 | Jillian Yacenda | Registered Nurse | 830 Park Ave, Huntington, NY 11743-4543 | 2020-04-01 |
| 1770137176 | Anupama Beeraka | Physical Therapy Assistant | 830 Park Ave, Huntington, NY 11743-4543 | 2019-07-25 |
| 1124425509 | Jacqueline Corvino | Physician Assistant | 830 Park Ave, Huntington, NY 11743-4543 | 2014-12-01 |
| 1710267679 | Danielle Marie Park | Occupational Therapy Assistant | 830 Park Ave, Huntington, NY 11743-4543 | 2011-08-24 |
| 1023345618 | Yu Jen Lai, Md.,pllc | Skilled Nursing Facility | 830 Park Ave, Huntington, NY 11743-4543 | 2009-11-03 |
| 1245407220 | Carillon Nursing & Rehabilitation Center, LLC | Skilled Nursing Facility | 830 Park Ave, Huntington, NY 11743-4543 | 2008-05-09 |
| 1083751879 | Anthony J Antonucci M D P C | Internal Medicine | 830 Park Ave, Carillon Nursing and Rehabilitation Center, Huntington, NY 11743-4543 | 2007-01-31 |
| 1134289234 | Carillon Dialysis, LLC | Clinic/Center | 830 Park Ave, Huntington, NY 11743-4543 | 2006-12-11 |
| 1811007743 | Anthony J Antonucci | Internal Medicine | 830 Park Ave, Carillon Nursing and Rehabilitation Center, Huntington, NY 11743-4543 | 2006-08-30 |
| 1245248665 | Eileen Bruckner | Physical Therapist | 830 Park Ave, Huntington, NY 11743-4543 | 2006-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896477 | Peter C Gaal | Behavioral Analyst | 47 N. Woodhull Road, 2nd Floor, Huntington, NY 11743 | 2019-11-25 |
| 1902389299 | Taylor Bliss Dambrosio | Early Intervention Provider Agency | 38 Carnegie Ave, Huntington, NY 11743 | 2018-09-12 |
| 1639601750 | Speech and Hearing Services | Clinic/Center | 17 Brooks Ave Unit1, Huntington, NY 11743 | 2017-03-29 |
| 1174983456 | Helene Falcone | Registered Nurse | 264 W. 22nd St., Oakwood Primary Center, Hunt., NY 11743 | 2016-03-01 |
| 1124499470 | Thomas Hlenski | Social Worker | 4 Richard Lane, Huntington, NY 11743 | 2015-10-13 |
| 1174921308 | Jeanne Ginsberg | Counselor | 81 Knollwood Avenue, Huntington, NY 11743 | 2014-12-22 |
| 1770980534 | Emily Ann Sombke | Physician Assistant | 249 Manor Rd., Huntington, NY 11743 | 2014-11-21 |
| 1881096162 | Applied Health Chiropractic | Chiropractor | 12 Ash Pl, Huntington, NY 11743 | 2014-09-18 |
| 1265857643 | Ccs Medical Practice, Pllc | Public Health or Welfare | 17 Southdown Road, Huntington, NY 11743 | 2014-02-21 |
| 1255760682 | Ekaterina Femminella | Acupuncturist | 181 Main St Ste 105, Huntington, NY 11743 | 2013-11-06 |
| Find all providers in zip 11743 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255512067 | Huntington Health Care & Rehabilitation Center, Ltd. | Skilled Nursing Facility | 220 E. Ash Street, Huntington, TX 75949-5514 | 2007-11-20 |
| 1619007887 | Henry County Memorial Hospital | Skilled Nursing Facility | 3720 N Norwood Rd, Huntington, IN 46750-8906 | 2007-03-06 |
| 1417020553 | Hoosier Enterprises V, Inc. | Skilled Nursing Facility | 850 Ash St, Huntington, IN 46750-4101 | 2006-11-16 |
| 1962594630 | Fairhaven Rest Home, Inc | Skilled Nursing Facility | 700 Madison Ave, Huntington, WV 25704-2630 | 2006-09-29 |
| 1548373418 | Huntington Health and Rehab | Skilled Nursing Facility | 1720 17th St, Huntington, WV 25701-4235 | 2006-08-16 |
| 1316956311 | Hilaire Farm Skilled Living & Rehabilitation Center, LLC | Skilled Nursing Facility | 9 Hilaire Dr, Huntington, NY 11743-3768 | 2006-08-07 |
| 1528097391 | Henry County Memorial Hospital | Skilled Nursing Facility | 1425 Grant St, Huntington, IN 46750-3121 | 2006-07-02 |
| 1386687515 | Seventeenth Street Associates LLC | Skilled Nursing Facility | 1720-17th Street, Huntington, WV 25701-4235 | 2006-06-14 |
| 1366920951 | Huntington Nursing and Rehab LLC | Skilled Nursing Facility | 3720 N Norwood Rd, Huntington, IN 46750-8906 | 2018-08-06 |
| 1073031050 | Hilaire Operating LLC | Skilled Nursing Facility | 9 Hilaire Dr, Huntington, NY 11743-3768 | 2017-08-30 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 11743 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.