Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1124024377
Chc Carrollton Nursing & Rehab Ctr, Llc
Organization Subpart: NO
Active
NPI Number1124024377
NPI TypeNPI-2 Organization
SpecialtySkilled Nursing Facility
Provider Details
NPI1124024377
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2005-06-22
Last Updated2014-03-21
Authorized OfficialMitchell Starer
Manager
Phone: 9143904300
Mailing Address2327 N Highway 27
Carrollton, GA 30117-6701
United States
Phone: (770) 748-4116 | Fax: (770) 748-2932
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Primary Practice Address4 West Red Oak Lane, Suite 201
White Plains, NY 10604-3603
United States
Phone: (914) 390-4377 | Fax: (914) 253-7507
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDGA00059661A-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes314000000X – Skilled Nursing FacilityGA10221753
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About NPI 1124024377

Chc Carrollton Nursing & Rehab Ctr, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1124024377. The primary specialty listed is Skilled Nursing Facility. The organization is located in White Plains, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-06-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1124024377?

NPI 1124024377 belongs to Chc Carrollton Nursing & Rehab Ctr, Llc, a Skilled Nursing Facility in White Plains, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1124024377 active?

The current status of NPI 1124024377 in the NPPES registry is Active. The record was last updated on 2014-03-21.

What specialty is NPI 1124024377?

NPI 1124024377 is classified under the taxonomy Skilled Nursing Facility. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1124024377?

You can verify NPI 1124024377 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1124024377?

The primary practice address on file for NPI 1124024377 is 4 West Red Oak Lane, White Plains, NY 10604-3603. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1124024377 issued?

NPI 1124024377 was first issued (enumerated) on 2005-06-22. The NPPES record was last updated on 2014-03-21.

Practice Location Map

Chc Carrollton Nursing & Rehab Ctr, Llc is located at 4 West Red Oak Lane, White Plains, NY. Use the map below to find directions or verify the practice location.

📍 4 West Red Oak Lane, White Plains, NY 10604-3603  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Chc Carrollton Nursing & Rehab Ctr, Llc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1124024377. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Skilled Nursing Facility10221753GA
Data Verified from CMS NPPES Last synced: 2026-08-12 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162