Provider Demographics
NPI:1598089682
Name:ROME CENTER LLC
Entity Type:Organization
Organization Name:ROME CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAUSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-215-6000
Mailing Address - Street 1:1720 WHITESTONE EXPY
Mailing Address - Street 2:SUITE 500
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-3065
Mailing Address - Country:US
Mailing Address - Phone:718-215-6000
Mailing Address - Fax:
Practice Address - Street 1:801 N JAMES ST
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-3524
Practice Address - Country:US
Practice Address - Phone:315-533-1600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-18
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00370498Medicaid
NY00370498Medicaid