1019 WICKER STREET OPERATING COMPANY, LLC is a skilled nursing facility in Ticonderoga, NY. The provider is (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. 1019 WICKER STREET OPERATING COMPANY, LLC NPI is 1871035485. The provider is registered as an organization entity type.
The provider Is Doing Business As Elderwood At Ticonderoga.
The provider's business location address is:
1019 WICKER ST
TICONDEROGA, NY
ZIP 12883-039
Phone: (518) 585-2831
The provider's authorized official is Jeffrey Rubin .
The authorized official title is Co-chief Executive Officer and has the following contact phone number (716) 817-5075.
The CLIA number assigned to this NPI record is 33D0164908 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/14/2016 and was last updated on 1/19/2023.