Provider Demographics
NPI:1376761478
Name:LIVINGSTON COUNTY
Entity Type:Organization
Organization Name:LIVINGSTON COUNTY
Other - Org Name:LIVINGSTON COUNTY CENTER FOR NURSING AND REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF LONG TERM CARE
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:NEWELL
Authorized Official - Last Name:BASSETT
Authorized Official - Suffix:
Authorized Official - Credentials:RN, LNHA
Authorized Official - Phone:585-243-7200
Mailing Address - Street 1:11 MURRAY HILL DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT MORRIS
Mailing Address - State:NY
Mailing Address - Zip Code:14510-1153
Mailing Address - Country:US
Mailing Address - Phone:585-243-7200
Mailing Address - Fax:585-243-7269
Practice Address - Street 1:11 MURRAY HILL DR
Practice Address - Street 2:
Practice Address - City:MOUNT MORRIS
Practice Address - State:NY
Practice Address - Zip Code:14510-1153
Practice Address - Country:US
Practice Address - Phone:585-243-7200
Practice Address - Fax:585-243-7269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2522300N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2522300NMedicaid
NY335562Medicare ID - Type Unspecified