MEDICARE: HRNC 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	3501302N

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	:	1780923391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HRNC OPERATING, LLC

Provider Business Mailing Address
First Line	:	120 HIGHLAND AVE
Second Line	:
City	:	MIDDLETOWN
State	:	NY
Zip	:	10940-4713
Country	:	US
Telephone Number	:	845-342-1033
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 HIGHLAND AVE
Second Line	:
City	:	MIDDLETOWN
State	:	NY
Zip	:	10940-4713
Country	:	US
Telephone Number	:	845-342-1033
Fax Number	:

Authorized Official
Title or Position	:	FINANCE
Name	:	ABE MOSTOFSKY
Credential	:
Telephone Number	:	347-832-6899

Provider Enumeration Date	:	02/04/2013
Last Update Date	:	01/13/2025

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