MEDICARE: WRNC OPERATING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1093677767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WRNC OPERATING LLC

Provider Business Mailing Address
First Line	:	20 WOOD CT
Second Line	:
City	:	TARRYTOWN
State	:	NY
Zip	:	10591-3108
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 W MADISON AVE
Second Line	:
City	:	JOHNSTOWN
State	:	NY
Zip	:	12095-2806
Country	:	US
Telephone Number	:	518-762-4546
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	ALEXANDER BARTH
Credential	:
Telephone Number	:	914-418-9834

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/02/2025

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Directions to “WRNC OPERATING LLC ” Practice Location

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