Provider Demographics
NPI:1689003782
Name:JOSE F ROMNEY RN
Entity Type:Organization
Organization Name:JOSE F ROMNEY RN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:FERNANDES
Authorized Official - Last Name:ROMNEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:877-686-0868
Mailing Address - Street 1:49 HUDSON PL
Mailing Address - Street 2:1A
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10303-2626
Mailing Address - Country:US
Mailing Address - Phone:877-686-0868
Mailing Address - Fax:206-888-2075
Practice Address - Street 1:49 HUDSON PL
Practice Address - Street 2:1A
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10303-2626
Practice Address - Country:US
Practice Address - Phone:877-686-0868
Practice Address - Fax:206-888-2075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY315459314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility