Provider Demographics
NPI:1235276981
Name:ELANT AT FISHKILL INC.
Entity Type:Organization
Organization Name:ELANT AT FISHKILL INC.
Other - Org Name:ELANT AT WAPPINGER FALLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:A
Authorized Official - Last Name:WHITNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-360-1361
Mailing Address - Street 1:46 HARRIMAN DRIVE
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-2410
Mailing Address - Country:US
Mailing Address - Phone:845-360-1200
Mailing Address - Fax:845-291-3833
Practice Address - Street 1:37 S MESIER AVENUE
Practice Address - Street 2:
Practice Address - City:WAPPINGER FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-2718
Practice Address - Country:US
Practice Address - Phone:845-360-1200
Practice Address - Fax:845-291-3833
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELANT AT FISHKILL INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-31
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1324301N314000000X
NY1324302N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY335275Medicare Oscar/Certification
NY335275Medicare ID - Type Unspecified