Healthcare Provider Details

I. General information

NPI: 1699074880
Provider Name (Legal Business Name): ORNC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2011
Last Update Date: 10/22/2021
Certification Date: 10/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 CHESTNUT ST
ONEONTA NY
13820-1212
US

IV. Provider business mailing address

1 HILLCREST CTR STE 225
SPRING VALLEY NY
10977-3740
US

V. Phone/Fax

Practice location:
  • Phone: 845-371-8100
  • Fax: 845-371-0010
Mailing address:
  • Phone: 845-371-8100
  • Fax: 845-371-0010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number3801303N
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. EFRAIM STEIF
Title or Position: MEMBER
Credential:
Phone: 845-371-8100