Basic Information
| Provider Information | |||||||||
| NPI: | 1952737637 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BTRNC, LLC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | BEECHTREE CENTER FOR REHABILITATION AND NURSING | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 HILLCREST CTR | ||||||||
| Address2: | SUITE #225 | ||||||||
| City: | SPRING VALLEY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 109773740 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8453718100 | ||||||||
| FaxNumber: | 8456788728 | ||||||||
| Practice Location | |||||||||
| Address1: | 318 S ALBANY ST | ||||||||
| Address2: | |||||||||
| City: | ITHACA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 148505406 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6072734166 | ||||||||
| FaxNumber: | 6072777004 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/25/2013 | ||||||||
| LastUpdateDate: | 09/25/2013 | ||||||||
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| AuthorizedOfficialLastName: | STEIF | ||||||||
| AuthorizedOfficialFirstName: | EFRAIM | ||||||||
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| AuthorizedOfficialTitleorPosition: | MEMBER | ||||||||
| AuthorizedOfficialTelephone: | 8453718100 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | 5401309M | NY | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.