Park Nursing Home

LBN: Park Nursing Home
Park Nursing Home is an health care organization with primary practice located at 128 Beach 115 Street , Rockaway Park NY 11694. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Park Nursing Home can be contacted via phone (718) 474-6400, or through Russell, Patrick via phone (718) 474-6400.

Contact Information

Primary practice address
128 Beach 115 Street Rockaway Park NY 11694
Phone: (718) 474-6400
Fax: (718) 474-9669
Website:
Map and Directions
Authorized official contact:
Name: Russell, Patrick
Phone: (718) 474-6400

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X

Profile Details

NPI number 1801887898
LBN Legal business name Park Nursing Home
DBA Doing business as
Authorized official Russell, Patrick
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2005
Last updated Mar 12th, 2008 - about 17 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801887898 NPPES
New York MEDICAID 00312487

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