CCRN OPERATOR LLC (NPI# 1811397995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811397995 |
| Entity Type | Organization |
| Organization Name | CCRN OPERATOR LLC |
| Other Organization Name | FOCUS REHABILITATION & NURSING AT OTSEGO |
| Practice Address |
128 Phoenix Mills Rd Cooperstown NY 13326-5716 |
| Practice Telephone | 6075442600 |
| Mailing Telephone | 6075442600 |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |
| Authorized Official Name | JOSEPH ZUPNIK (MANAGING MEMBER) |
| Authorized Official Telephone | 8457048000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00356414 | 05 |
| Other Name | Type Code |
|---|---|
| Focus Rehabilitation & Nursing at Otsego | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205230711 | Ccrn Operator LLC | Skilled Nursing Facility | 128 Phoenix Mills Rd, Cooperstown, NY 13326-5716 | 2014-10-13 |
| 1407250012 | Ccrn Operator LLC | Home Health | 128 Phoenix Mills Rd, Cooperstown, NY 13326-5716 | 2014-10-13 |
| Street Address |
128 PHOENIX MILLS RD |
| City | COOPERSTOWN |
| State | NY |
| Zip Code | 13326-5716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255848305 | Otsego Snf Operations Assoc LLC | Home Health | 128 Phoenix Mills Rd, Cooperstown, NY 13326 | 2018-01-10 |
| 1972010601 | Otsego Snf Operations Assoc LLC | Skilled Nursing Facility | 128 Phoenix Mills Rd, Cooperstown, NY 13326-5716 | 2018-01-03 |
| 1205230711 | Ccrn Operator LLC | Skilled Nursing Facility | 128 Phoenix Mills Rd, Cooperstown, NY 13326-5716 | 2014-10-13 |
| 1407250012 | Ccrn Operator LLC | Home Health | 128 Phoenix Mills Rd, Cooperstown, NY 13326-5716 | 2014-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699121434 | Rebecca Renee Meehan | Registered Nurse | 39 Linden Ave., (cooperstown Central School), Cooperstown, NY 13326 | 2016-05-11 |
| 1023409299 | Edward Francis Danielski Jr. | Radiology | 4 Prosect Place, Cooperstown, NY 13326 | 2015-02-10 |
| 1265723027 | Crischelle Vilbar Magaspi | Internal Medicine | Mary Imogene Bassett Medical Center, 1 Atwell Road, Cooperstown, NY 13326 | 2011-04-28 |
| 1528255999 | Briana Lynn Calore | Orthopaedic Surgery | One Atwell Rd, Cooperstown, NY 13326 | 2007-10-01 |
| 1437206554 | Judith J. Greenberg | Psychiatry & Neurology | One Atwell Rd., Bassett Medical Center, Psychiatry Opd, Cooperstown, NY 13326 | 2007-01-03 |
| 1922174838 | James Robert Orcutt | Dentist | 6 Doubleday Court, Cooperstown, NY 13326 | 2006-11-24 |
| 1215006234 | Lawrence K Kelly | Counselor | 140 Co. Hwy 33w, Cooperstown, NY 13326 | 2006-11-06 |
| 1730270547 | Esther Lee Miller | Social Worker | 45 Pioneer St, 2nd Floor, Cooperstown, NY 13326 | 2006-09-27 |
| 1295775823 | Robin Gail Knapp | Advanced Practice Midwife | Bassett Medical Center, 1 Atwell Rd, Cooperstown, NY 13326 | 2006-06-08 |
| 1750366431 | Matthew Douglas Craig | Chiropractor | 4910 State Highway 28, Cooperstown, NY 13326 | 2005-12-14 |
| Find all providers in zip 13326 | ||||
| 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 |
|---|---|---|---|---|
| 1891773701 | County of Otsego | Skilled Nursing Facility | 128 Phoenix Mills Cross Rd, Cooperstown, NY 13326-5716 | 2006-01-03 |
| 1972010601 | Otsego Snf Operations Assoc LLC | Skilled Nursing Facility | 128 Phoenix Mills Rd, Cooperstown, NY 13326-5716 | 2018-01-03 |
| 1205230711 | Ccrn Operator LLC | Skilled Nursing Facility | 128 Phoenix Mills Rd, Cooperstown, NY 13326-5716 | 2014-10-13 |
| 1144500596 | Griggs County Nursing Home | Skilled Nursing Facility | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 | 2011-08-17 |
| 1285726067 | Cooperstown Medical Center | Skilled Nursing Facility | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 | 2006-09-29 |
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| 1659936334 | Nelson Tannis | Skilled Nursing Facility | 165 Broadway, New York, NY 10006-1404 | 2019-05-07 |
| 1295390029 | Westgate Operations Associates LLC | Skilled Nursing Facility | 525 Beahan Rd, Rochester, NY 14624-3403 | 2019-05-07 |
| 1952883423 | Roscoe Regional Healthcare LLC | Skilled Nursing Facility | 420 Rockland Rd, Roscoe, NY 12776-6450 | 2018-08-31 |
| 1164904769 | Renaissance Healthcare Group, LLC | Skilled Nursing Facility | 4975 Albany Post Rd, Staatsburg, NY 12580-6032 | 2018-08-30 |
| 1477049807 | Itkin Occupational Therapy PC | Skilled Nursing Facility | 134 Mackenzie Street, Brooklyn, NY 11235 | 2018-07-09 |
| 1699280826 | 239 Legris Avenue Operations LLC | Skilled Nursing Facility | 3118 Quentin Rd, Brooklyn, NY 11234-4235 | 2017-12-11 |
| 1376058578 | Yonkers Gardens, LLC | Skilled Nursing Facility | 115 S Broadway, Yonkers, NY 10701-4006 | 2017-12-10 |
| 1104355536 | Massapequa Center LLC | Skilled Nursing Facility | 101 Louden Ave., Amityville, NY 11701 | 2017-06-08 |
| Find all providers with the same taxonomy | ||||
| City | COOPERSTOWN |
| Zip Code | 13326 |
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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.