Healthcare Provider Details

I. General information

NPI: 1194993238
Provider Name (Legal Business Name): MARGARETVILLE NURSING HOME INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2008
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42158 STATE HIGHWAY 28
MARGARETVILLE NY
12455-2826
US

IV. Provider business mailing address

42158 STATE HIGHWAY 28
MARGARETVILLE NY
12455-2826
US

V. Phone/Fax

Practice location:
  • Phone: 845-943-6023
  • Fax: 845-943-6077
Mailing address:
  • Phone: 845-943-6023
  • Fax: 845-943-6077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1226300N
License Number StateNY

VIII. Authorized Official

Name: MR. PATRICK BAKER
Title or Position: ASSISTANT VICE PRESIDENT
Credential:
Phone: 914-493-2846