Provider Demographics
NPI:1588666796
Name:R W B CORPORATION
Entity Type:Organization
Organization Name:R W B CORPORATION
Other - Org Name:PORT CHESTER NURSING & REHABILITATION CENTRE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:914-937-1200
Mailing Address - Street 1:1000 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:PORT CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10573-4402
Mailing Address - Country:US
Mailing Address - Phone:914-937-1200
Mailing Address - Fax:914-937-1145
Practice Address - Street 1:1000 HIGH ST
Practice Address - Street 2:
Practice Address - City:PORT CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10573-4402
Practice Address - Country:US
Practice Address - Phone:914-937-1200
Practice Address - Fax:914-937-3425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-01
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5906303N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY003-10072Medicaid
NY003-10072Medicaid