Provider Demographics
NPI:1003017211
Name:CABRINI OF WESTCHESTER
Entity Type:Organization
Organization Name:CABRINI OF WESTCHESTER
Other - Org Name:ST CABRINI NURSING HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KRASNAUSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-693-6800
Mailing Address - Street 1:115 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-2835
Mailing Address - Country:US
Mailing Address - Phone:914-693-6800
Mailing Address - Fax:212-358-3063
Practice Address - Street 1:115 BROADWAY
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-2835
Practice Address - Country:US
Practice Address - Phone:914-693-6800
Practice Address - Fax:212-358-3063
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CABRINI OF WESTCHESTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-29
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5925300N251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00863850Medicaid
NY00863850Medicaid