Healthcare Provider Details

I. General information

NPI: 1245314285
Provider Name (Legal Business Name): RUTLAND NURSING HOME INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 06/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

585 SCHENECTADY AVE
BROOKLYN NY
11203-1851
US

IV. Provider business mailing address

585 SCHENECTADY AVE
BROOKLYN NY
11203-1851
US

V. Phone/Fax

Practice location:
  • Phone: 718-604-5532
  • Fax: 718-604-5527
Mailing address:
  • Phone: 718-604-5000
  • Fax: 718-604-5527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number7001033N
License Number StateNY

VIII. Authorized Official

Name: JOHN SCHMITT
Title or Position: SVPF
Credential:
Phone: 718-604-5000