Provider Demographics
NPI:1972661684
Name:KNH PARTNERS
Entity Type:Organization
Organization Name:KNH PARTNERS
Other - Org Name:PUTNAM NURSING AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:KAYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-878-3241
Mailing Address - Street 1:404 LUDINGTONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:HOLMES
Mailing Address - State:NY
Mailing Address - Zip Code:12531-4626
Mailing Address - Country:US
Mailing Address - Phone:845-878-3241
Mailing Address - Fax:
Practice Address - Street 1:404 LUDINGTONVILLE RD
Practice Address - Street 2:
Practice Address - City:HOLMES
Practice Address - State:NY
Practice Address - Zip Code:12531-4626
Practice Address - Country:US
Practice Address - Phone:845-878-3241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3951301N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00308356Medicaid
NY3951301NOtherOPERATING CERTIFICATE
NY00308356Medicaid