Healthcare Provider Details

I. General information

NPI: 1528061850
Provider Name (Legal Business Name): KINGSWAY ARMS NURSING CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 KINGS ROAD
SCHENECTADY NY
12304-3699
US

IV. Provider business mailing address

323 KINGS ROAD
SCHENECTADY NY
12304-3699
US

V. Phone/Fax

Practice location:
  • Phone: 518-393-4117
  • Fax: 518-393-4127
Mailing address:
  • Phone: 518-393-4117
  • Fax: 518-393-4127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number4601305N
License Number StateNY

VIII. Authorized Official

Name: MR. MICHAEL CONNOR MCPARTLON
Title or Position: VICE PRESIDENT
Credential:
Phone: 518-393-4117