Promenade Rehabilitation And Health Care Center

LBN: Promenade Nursing Home, Inc
Promenade Rehabilitation And Health Care Center is an health care organization with primary practice located at 140 Beach 114Th St , Rockaway Park NY 11694-2405. 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. Promenade Nursing Home, Inc can be contacted via phone (718) 945-4600, or through Gross, Peter via phone (718) 945-4600.

Contact Information

Primary practice address
140 Beach 114Th St Rockaway Park NY 11694-2405
Phone: (718) 945-4600
Fax: (718) 634-8237
Website:
Map and Directions
Authorized official contact:
Name: Gross, Peter
Phone: (718) 945-4600

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 7003386N New York

Profile Details

NPI number 1992856751
LBN Legal business name Promenade Nursing Home, Inc
DBA Doing business as Promenade Rehabilitation And Health Care Center
Authorized official Gross, Peter
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Feb 11th, 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 1992856751 NPPES
New York MEDICAID 00308907

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