Provider Demographics
NPI:1528061850
Name:KINGSWAY ARMS NURSING CENTER, INC.
Entity type:Organization
Organization Name:KINGSWAY ARMS NURSING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:CONNOR
Authorized Official - Last Name:MCPARTLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-393-4117
Mailing Address - Street 1:323 KINGS ROAD
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12304-3699
Mailing Address - Country:US
Mailing Address - Phone:518-393-4117
Mailing Address - Fax:518-393-4127
Practice Address - Street 1:323 KINGS ROAD
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12304-3699
Practice Address - Country:US
Practice Address - Phone:518-393-4117
Practice Address - Fax:518-393-4127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-31
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4601305N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00473881Medicaid
NY00473881Medicaid