Provider Demographics
NPI:1780923391
Name:HRNC OPERATING, LLC
Entity type:Organization
Organization Name:HRNC OPERATING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:ABE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSTOFSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-832-6899
Mailing Address - Street 1:120 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-4713
Mailing Address - Country:US
Mailing Address - Phone:845-342-1033
Mailing Address - Fax:
Practice Address - Street 1:120 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-4713
Practice Address - Country:US
Practice Address - Phone:845-342-1033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-04
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3501302N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02031517Medicaid
335526Medicare Oscar/Certification