Provider Demographics
NPI:1033220199
Name:RAMAPO MANOR NURSING CENTER INC
Entity Type:Organization
Organization Name:RAMAPO MANOR NURSING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIMILES
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:845-357-1230
Mailing Address - Street 1:30 CRAGMERE RD
Mailing Address - Street 2:
Mailing Address - City:AIRMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10901-7520
Mailing Address - Country:US
Mailing Address - Phone:845-357-1230
Mailing Address - Fax:845-369-6515
Practice Address - Street 1:30 CRAGMERE RD
Practice Address - Street 2:
Practice Address - City:AIRMONT
Practice Address - State:NY
Practice Address - Zip Code:10901-7520
Practice Address - Country:US
Practice Address - Phone:845-357-1230
Practice Address - Fax:845-369-6515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY31400000X314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY335148Medicare ID - Type Unspecified