Organization
CARILLON NURSING AND REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH F CARILLO II (ADMINISTRATOR)
(631) 271-5800
Entity
Organization
Contact information
Practice address
830 PARK AVE, HUNTINGTON, NY 11743-4543
(631) 271-5800
(631) 271-5806
Mailing address
830 PARK AVE, HUNTINGTON, NY 11743-4543
(631) 271-5800
(631) 271-5806
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5153306N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02994934
—
NY
01
—
335286
MEDICARE PTAN
—
Enumeration date
09/29/2005
Last updated
12/27/2019
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