ELLIS RESIDENTIAL AND REHABILITATION CENTER
NPI 1215928148
Skilled Nursing Facility in Schenectady, NY

NPI Status: Active since October 31, 2005

Contact Information

600 MCCLELLAN ST
SCHENECTADY, NY
ZIP 12304
Phone: (518) 382-2250
Fax: (518) 382-2206

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 33D2192290
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 03-26-2027

About ELLIS RESIDENTIAL AND REHABILITATION CENTER

This page provides the complete NPI Profile along with additional information for Ellis Residential And Rehabilitation Center, a provider established in Schenectady, New York operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1215928148 assigned on October 2005. The practitioner's primary taxonomy code is 314000000X with license number 4601001N (NY). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Ellis Residential And Rehabilitation Center. The authorized official of this NPI record is Mr. James Connolly (Ceo)

NPI
1215928148
Provider Legal Name
ELLIS HOSPITAL
Other Organization Name
ELLIS RESIDENTIAL AND REHABILITATION CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
600 MCCLELLAN ST SCHENECTADY, NY 12304
Location Phone
(518) 382-2250
Location Fax
(518) 382-2206
Mailing Address
600 MCCLELLAN ST SCHENECTADY, NY 12304
Mailing Phone
(518) 382-2250
Mailing Fax
(518) 382-2206
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-31-2005
Last Update Date
03-27-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
4601001N
License State
NY
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JAMES CONNOLLY

Authorized Official Title
CEO
Authorized Official Phone
(518) 243-4141

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01146405MEDICAID (05)NY 
000400009002OTHER (01)NYBSNENY
007940OTHER (01)NYEMIPIRE BC
335705MEDICARE ID-TYPE UNSPECIFIED (04)NYMEDICARE
0101OTHER (01)NYMVP
10005801OTHER (01)NYCDPHP

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2192290
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 09, 2020
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. BERNARD T. NG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ellis Residential And Rehabilitation Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for ELLIS RESIDENTIAL AND REHABILITATION CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215928148
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22251821618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 8 + 2 + 1 + 6 + 1 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1215928148 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720072465DR. VINCENT J LUVERA DO
Individual
Family Medicine (Geriatric Medicine)600 MCCLELLAN ST ST CLAIRES HOSPITAL WOUND CARE CENTER
SCHENECTADY, NY 12304
(518) 347-5442
1801886072ST. CLARES HOSPITAL
Organization
General Acute Care Hospital600 MCCLELLAN ST
SCHENECTADY, NY 12304
(518) 347-5666
1487644670 DONALD K RICE MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)600 MCCLELLAN ST
SCHENECTADY, NY 12304
(518) 347-5339
1417947698 COLLEEN AMATO MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)600 MCCLELLAN ST
SCHENECTADY, NY 12304
(518) 347-5307
1659361830 AYSE DINCER MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)600 MCCLELLAN ST
SCHENECTADY, NY 12304
(518) 347-5307
1144293895DR. JAY V MALDE M.D.
Individual
Specialist600 MCCLELLAN ST
SCHENECTADY, NY 12304
(518) 382-2310
1033170873DR. CRAIG EDWARD TODD M.D.
Individual
Emergency Medicine600 MCCLELLAN ST
SCHENECTADY, NY 12304
(518) 382-2222
1659309599DR. DENISE ANTOINETTE LAWRENCE MD
Individual
Family Medicine600 MCCLELLAN ST MSGR KEANE BLDG
SCHENECTADY, NY 12304
(518) 346-3222
1548298219MR. GLENN D JONES RPA-C
Individual
Physician Assistant (Surgical)600 MCCLELLAN ST
SCHENECTADY, NY 12304
(518) 347-5532
1720016447DR. RICHARD F GULLOTT M.D.
Individual
Internal Medicine (Pulmonary Disease)600 MCCLELLAN ST
SCHENECTADY, NY 12304
(518) 399-4134
1922036557MR. WAYNE C CHESLICK RPA-C
Individual
Physician Assistant (Surgical)600 MCCLELLAN ST
SCHENECTADY, NY 12304
(518) 347-5532
1124057096 ROGER A BARROWMAN MD
Individual
Emergency Medicine600 MCCLELLAN ST @ ST. CLARES ER DEPT.
SCHENECTADY, NY 12304
(518) 383-5450
1750310645PROVIDENT EMERGENCY MEDICINE ASSOCIATES, PC
Organization
Emergency Medicine600 MCCLELLAN ST @ ST. CLARE'S HOSPITAL ER DEPT
SCHENECTADY, NY 12304
(518) 383-5450
1528097169 MICHAEL J REILLY MD
Individual
Emergency Medicine600 MCCLELLAN ST DEPARTMENT OF EMERGENCY
SCHENECTADY, NY 12304
(518) 382-2222
1043249618 HEDVA SHAMIR MD
Individual
Emergency Medicine600 MCCLELLAN ST DEPARTMENT OF EMERGENCY
SCHENECTADY, NY 12304
(518) 382-2222
1164452660 EUGENE A GUIDARELLI PA
Individual
Physician Assistant600 MCCLELLAN ST
SCHENECTADY, NY 12304
(518) 382-2222
1366474595 ROBERT J DACHS MD
Individual
Emergency Medicine600 MCCLELLAN ST @ ST. CLARE'S HOSPITAL ER DEPT
SCHENECTADY, NY 12304
(518) 383-5450
1295768141 ROBERT M RATTNER MD
Individual
Emergency Medicine600 MCCLELLAN ST @ ST. CLARE'S HOSPITAL ER DEPT.
SCHENECTADY, NY 12304
(518) 383-5450
1548292709 ERIC D FREEDMAN MD
Individual
Emergency Medicine600 MCCLELLAN ST DEPARTMENT OF EMERGENCY
SCHENECTADY, NY 12304
(518) 382-2222
1922030816 DALE H LAWRENCE PA
Individual
Physician Assistant600 MCCLELLAN ST @ ST. CLARE'S HOSPITAL ER DEPT.
SCHENECTADY, NY 12304
(518) 383-5450

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215928148, enumerated in the NPI registry as an "organization" on October 31, 2005

The provider is located at 600 Mcclellan St Schenectady, Ny 12304 and the phone number is (518) 382-2250

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 33D2192290 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 31, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.