Healthcare Provider Details

I. General information

NPI: 1689662157
Provider Name (Legal Business Name): BAPTIST HEALTH NURSING AND REHABILITATION CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 01/05/2023
Certification Date: 01/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

297 N BALLSTON AVE
SCOTIA NY
12302-2427
US

IV. Provider business mailing address

297 N BALLSTON AVE
SCOTIA NY
12302-2427
US

V. Phone/Fax

Practice location:
  • Phone: 518-370-4700
  • Fax: 518-370-5048
Mailing address:
  • Phone: 518-370-4700
  • Fax: 518-370-5048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number4620300N
License Number StateNY

VIII. Authorized Official

Name: ANTONIO ALOTTA
Title or Position: ADMINISTRATOR
Credential:
Phone: 518-370-4700