Healthcare Provider Details

I. General information

NPI: 1972829851
Provider Name (Legal Business Name): ROME CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2010
Last Update Date: 03/22/2023
Certification Date: 03/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N JAMES ST
ROME NY
13440-3524
US

IV. Provider business mailing address

1601 BRONXDALE AVE
BRONX NY
10462-3364
US

V. Phone/Fax

Practice location:
  • Phone: 315-335-1600
  • Fax:
Mailing address:
  • Phone: 718-931-9700
  • Fax:

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 Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH ZUPNIK
Title or Position: MEMBER
Credential:
Phone: 718-931-9700