Provider Demographics
NPI:1689662157
Name:BAPTIST HEALTH NURSING AND REHABILITATION CENTER INC
Entity Type:Organization
Organization Name:BAPTIST HEALTH NURSING AND REHABILITATION CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ALOTTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-370-4700
Mailing Address - Street 1:297 N BALLSTON AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTIA
Mailing Address - State:NY
Mailing Address - Zip Code:12302-2427
Mailing Address - Country:US
Mailing Address - Phone:518-370-4700
Mailing Address - Fax:518-370-5048
Practice Address - Street 1:297 N BALLSTON AVE
Practice Address - Street 2:
Practice Address - City:SCOTIA
Practice Address - State:NY
Practice Address - Zip Code:12302-2427
Practice Address - Country:US
Practice Address - Phone:518-370-4700
Practice Address - Fax:518-370-5048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-10
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4620300N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
335612Medicare ID - Type Unspecified