Maria Regina Residence, Inc.

LBN: Maria Regina Residence, Inc.
Maria Regina Residence, Inc. is an health care organization with primary practice located at 1725 Brentwood Rd Bldg 1, Brentwood NY 11717-5543. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Day Care, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Maria Regina Residence, Inc. can be contacted via phone (631) 299-3000, or through Burton, Brenda via phone (631) 299-3190.

Contact Information

Primary practice address
1725 Brentwood Rd Bldg 1 Brentwood NY 11717-5543
Phone: (631) 299-3000
Fax: (631) 299-3274
Website:
Map and Directions
Authorized official contact:
Name: Burton, Brenda
Phone: (631) 299-3190

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 5154321N New York

Profile Details

NPI number 1063419356
LBN Legal business name Maria Regina Residence, Inc.
DBA Doing business as
Authorized official Burton, Brenda
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2005
Last updated Jun 8th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063419356 NPPES
New York MEDICAID 02496748
New York MEDICAID 02277085

Popular Providers