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KING STREET HOME INC
NPI 1447212915
Skilled Nursing Facility in Rye Brook, NY

Active since April 03, 2006CLIA 33D0884547 · Waiver
3/5
Overall Rating
787 KING ST, RYE BROOK, NY 10573(914) 937-5800(914) 949-6986 Get Directions Write a Review

NPPES record last updated: November 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About King Street Home Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KING STREET HOME INC (NPI 1447212915) is a healthcare organization registered as a skilled nursing facility in Rye Brook, New York and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Robert Wilner, Administrator, as its authorized official.

NPPES Registry Identity

NPI1447212915
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameKING STREET HOME INC
Location Address787 KING STRye Brook, NY 10573-1225
Mailing Address787 King StRye Brook, NY 10573-1225 · (914) 937-5800 · Fax (914) 949-6986
Phone(914) 937-5800
Fax(914) 949-6986
Organization SubpartNo
Authorized OfficialRobert WilnerAdministrator · (914) 937-5800
Enumeration DateApril 3, 2006
Last NPPES UpdateNovember 3, 2014
✔ NPI 1447212915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in NY · 5906300N
Definition
(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.
787 KING ST, Rye Brook, NY 10573
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Other Identifiers 2

Medicaid00312978NY
Medicare PIN335447NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0884547

King Street Home Inc · Rye Brook, NY
Active · expires Mar 26, 2027
CLIA Number33D0884547
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 11, 2006
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Albert L. Riddle
Laboratory Phone(914) 937-5800
Laboratory LocationKing Street Home Inc787 King Street, Rye Brook, NY 10573
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for King Street Home Inc (CMS certification number 335447), from CMS Care Compare.

King Street Home Inc

Nursing home · Port Chester, NY
3/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number335447
Certified Beds120 beds67 residents per day on average
Medicare & Medicaid Participant SinceJuly 1, 1975
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
28
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 3.23 · LPN 1.02 · RN 0.7
4.95 hrs per resident per day
Weekend Nurse Staffing
4.94 hrs per resident per day
Physical Therapist Staffing
0.23 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
42.4%
Registered Nurse Turnover
31.3%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
2 totaling $1,656.83
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEEMPS MILIUS
Registered Nurse
787 KING ST
RYE BROOK, NY 10573
Westchester County (914) 937-5800
ANNAKAY BONTE
Registered Nurse
787 KING ST
RYE BROOK, NY 10573
Westchester County (914) 937-5800
TRICIA BAUTISTA
Registered Nurse
787 KING ST
RYE BROOK, NY 10573
Westchester County (914) 939-5800
KAREN FAYE CANILLAS PT
Physical Therapist
787 KING ST
PORT CHESTER, NY 10573
Westchester County (914) 600-7149
BARBARA ANN PARLATORE RN
Registered Nurse (Gerontology)
787 KING ST
PORT CHESTER, NY 10573
Westchester County (914) 937-5800
BRITTANY ANDREWS OTR/L
Occupational Therapist
787 KING ST
RYE BROOK, NY 10573
Westchester County (914) 937-5800
RHOMANDA A BARON-SAINE FNP
Nurse Practitioner (Family)
787 KING ST
PORT CHESTER, NY 10573
Westchester County (609) 585-1122
MRS. DONNA MARIE FUNG-GROSSMAN
Registered Nurse
787 KING ST
RYE BROOK, NY 10573
Westchester County (914) 937-5800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is King Street Home Inc's NPI number?

The NPI number for King Street Home Inc is 1447212915. It was assigned to this organization in the NPPES registry on April 3, 2006.

Where is King Street Home Inc located?

King Street Home Inc is located at 787 King St, Rye Brook, NY 10573. The listed phone number is (914) 937-5800.

What is King Street Home Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does King Street Home Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0884547) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is King Street Home Inc a Medicare-certified nursing home?

Yes. King Street Home Inc is a Medicare-certified nursing home with 120 certified beds.

What quality rating does King Street Home Inc have?

CMS rates King Street Home Inc 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for King Street Home Inc was last updated on November 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.