Provider Demographics
NPI:1164811220
Name:URNC OPERATING, LLC
Entity Type:Organization
Organization Name:URNC OPERATING, LLC
Other - Org Name:UTICA REHABILITATION & NURSING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:ISRAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OSTROVITSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-597-7631
Mailing Address - Street 1:20 WOOD CT
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-3108
Mailing Address - Country:US
Mailing Address - Phone:914-597-7630
Mailing Address - Fax:
Practice Address - Street 1:2535 GENESEE ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-6251
Practice Address - Country:US
Practice Address - Phone:315-797-1230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-13
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3202316N314000000X
NY320231010315D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient