Provider Demographics
NPI:1326492380
Name:ECRNC LLC
Entity Type:Organization
Organization Name:ECRNC LLC
Other - Org Name:EVERGREEN COMMONS REHABILITATION AND NURSING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:EFRAIM
Authorized Official - Middle Name:
Authorized Official - Last Name:STEIF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-371-8100
Mailing Address - Street 1:1 HILLCREST CTR
Mailing Address - Street 2:SUITE #325
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-3740
Mailing Address - Country:US
Mailing Address - Phone:845-371-8100
Mailing Address - Fax:845-371-0010
Practice Address - Street 1:1070 LUTHER RD
Practice Address - Street 2:
Practice Address - City:EAST GREENBUSH
Practice Address - State:NY
Practice Address - Zip Code:12061-4020
Practice Address - Country:US
Practice Address - Phone:518-479-4662
Practice Address - Fax:518-479-3978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-15
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility