Provider Demographics
NPI:1154457786
Name:RPNH, INC.
Entity Type:Organization
Organization Name:RPNH, INC.
Other - Org Name:ROME NURSING HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SVENDSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-336-5400
Mailing Address - Street 1:950 FLOYD AVE
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440-4535
Mailing Address - Country:US
Mailing Address - Phone:315-336-5400
Mailing Address - Fax:315-336-3314
Practice Address - Street 1:950 FLOYD AVE
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-4535
Practice Address - Country:US
Practice Address - Phone:315-336-5400
Practice Address - Fax:315-336-3314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00474575Medicaid
NY3201305NOtherOPERATING CERTIFICATE NUM
NY3201305NOtherOPERATING CERTIFICATE NUM