Peninsula General Nursing Home

LBN: Peninsula General Nursing Home
Peninsula General Nursing Home is an health care organization with primary practice located at 50-15 Beach Channel Drive , Far Rockaway NY 11691. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Peninsula General Nursing Home can be contacted via phone (718) 734-2000, or through Skutzka, Alexander via phone (718) 734-2000.

Contact Information

Primary practice address
50-15 Beach Channel Drive Far Rockaway NY 11691
Fax:
Website:
Authorized official contact:
Name: Skutzka, Alexander

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 7003308N New York

Profile Details

NPI number 1114922689
LBN Legal business name Peninsula General Nursing Home
DBA Doing business as
Authorized official Skutzka, Alexander
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2005
Last updated Sep 5th, 2014 - about 10 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 1114922689 NPPES
New York Other 00796 EMPIRE BLUECROSS
New York MEDICAID 00332834 EMPIRE BLUECROSS

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