Provider Demographics
NPI:1710065982
Name:WHITE PLAINS CENTER FOR NURSING CARE, LLC
Entity Type:Organization
Organization Name:WHITE PLAINS CENTER FOR NURSING CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:CYTRYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-686-8880
Mailing Address - Street 1:220 W POST RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10606-2914
Mailing Address - Country:US
Mailing Address - Phone:914-989-8880
Mailing Address - Fax:914-997-2090
Practice Address - Street 1:220 W POST RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10606-2914
Practice Address - Country:US
Practice Address - Phone:914-989-8880
Practice Address - Fax:914-997-2090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5902315N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00311019Medicaid
NY00311019Medicaid