Organization
ELLIS HOSPITAL
Active
Other names
Ellis Residential and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES CONNOLLY (CEO)
(518) 243-4141
Entity
Organization
Contact information
Practice address
600 MCCLELLAN ST, SCHENECTADY, NY 12304-1009
(518) 382-2250
(518) 382-2206
Mailing address
600 MCCLELLAN ST, SCHENECTADY, NY 12304-1009
(518) 382-2250
(518) 382-2206
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4601001N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000400009002
BSNENY
NY
01
—
007940
EMIPIRE BC
NY
01
—
0101
MVP
NY
05
—
01146405
—
NY
01
—
10005801
CDPHP
NY
Enumeration date
10/31/2005
Last updated
03/27/2012
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