MEDICARE: KINGSWAY ARMS NURSING CENTER, INC.

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	4601305N	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528061850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KINGSWAY ARMS NURSING CENTER, INC.

Provider Business Mailing Address
First Line	:	323 KINGS ROAD
Second Line	:
City	:	SCHENECTADY
State	:	NY
Zip	:	12304-3699
Country	:	US
Telephone Number	:	518-393-4117
Fax Number	:	518-393-4127

Provider Business Practice Location Address
First Line	:	323 KINGS ROAD
Second Line	:
City	:	SCHENECTADY
State	:	NY
Zip	:	12304-3699
Country	:	US
Telephone Number	:	518-393-4117
Fax Number	:	518-393-4127

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. MICHAEL CONNOR MCPARTLON
Credential	:
Telephone Number	:	518-393-4117

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	10/24/2024

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