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Port Chester Operating LLC

Skilled Nursing Facility in Port Chester, NY. Organization (NPI-2).

NPI number1154774271
StatusActive
Last updated in NPPESMar 31, 2017

Details

NPI
1154774271
Entity type
Organization (NPI-2)
Legal business name
Port Chester Operating LLC
Organization subpart
No
Enumeration date
Jul 14, 2016
Last updated
Mar 31, 2017

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART A PROVIDER - SKILLED NURSING FACILITY
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility5906304NNYYes

Other names

  • Port Chester Nursing & Rehab Center (Doing Business As)

Practice location

1000 High St
Port Chester, NY 10573-4402

Phone 201-731-1700

Mailing address

1000 High St
Port Chester, NY 10573-4402

Phone 201-731-1700

Authorized official

Mark Friedman
Owner
2017311700

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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