Healthcare Provider Details

I. General information

NPI: 1548559065
Provider Name (Legal Business Name): RRNC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2011
Last Update Date: 03/20/2023
Certification Date: 03/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 FLOYD AVE
ROME NY
13440-4535
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 315-336-5400
  • Fax: 315-336-3314
Mailing address:
  • Phone: 845-371-8100
  • Fax: 845-371-0010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number3201305N
License Number StateNY

VIII. Authorized Official

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