GARDEN REHAB AND HEALTH CARE AT VICTORIAN VILLAGE LLC (NPI# 1245785310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245785310 |
| Entity Type | Organization |
| Organization Name | GARDEN REHAB AND HEALTH CARE AT VICTORIAN VILLAGE LLC |
| Practice Address |
99 W Hawthorne Ave Suite 508 Valley Stream NY 11580-6163 |
| Mailing Address |
920 Thurber Dr W Columbus OH 43215-1247 |
| Practice Telephone | 5165050000 |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |
| Authorized Official Name | DAVID GAMZEH (MANAGING MEMBER) |
| Authorized Official Telephone | 5164266961 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1453N | OH | Nursing & Custodial Care Facilities |
| Street Address |
99 W HAWTHORNE AVE SUITE 508 |
| City | VALLEY STREAM |
| State | NY |
| Zip Code | 11580-6163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326593492 | Marysville Gardens Rehabilitation and Health Care LLC | Skilled Nursing Facility | 99 W Hawthorne Ave, Suite 508, Valley Stream, NY 11580-6163 | 2016-08-18 |
| 1063967131 | Mt. Airy Gardens Rehabilitation and Care Center LLC | Skilled Nursing Facility | 99 W Hawthorne Ave, Suite 508, Valley Stream, NY 11580-6163 | 2016-08-18 |
| 1982159059 | Lansing Gardens Rehabilitation and Care Center LLC | Skilled Nursing Facility | 99 W Hawthorne Ave, Valley Stream, NY 11580-6163 | 2016-08-18 |
| 1609321777 | Garden Healthcare of Rocky River LLC | Skilled Nursing Facility | 99 W Hawthorne Ave, Suite 508, Valley Stream, NY 11580-6163 | 2016-08-18 |
| 1871048942 | Eaton Gardens Rehabilitation and Health Care LLC | Skilled Nursing Facility | 99 W Hawthorne Ave, Suite 508, Valley Stream, NY 11580-6163 | 2016-08-18 |
| 1235684309 | Fairfield Gardens Rehabilitation and Care Center LLC | Skilled Nursing Facility | 99 W Hawthorne Ave, Suite 508, Valley Stream, NY 11580-6163 | 2016-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1427523869 | Jessica Doyle | Social Worker | 5-11 Pflug Pl, Valley Stream, NY 11580 | 2018-10-12 |
| 1013491026 | Syeda Afshan Firdous | Licensed Practical Nurse | 13 Cleaveland St, Valley Stream, NY 11580 | 2018-09-17 |
| 1700377934 | Jisha Merin Mathew | Nurse Practitioner | 1835 Oliver Ave, Apt 4, Valley Stream, NY 11580 | 2018-05-23 |
| 1669970273 | Terrice Bell | Social Worker | 50 W Hawthorne Avenue, Valley Streams, NY 11580 | 2018-01-29 |
| 1659883718 | Rita M. Fowler | Registered Nurse | 33 West Hawthorne Ave. Suite 31, New York Health Care, Valley Stream, NY 11580 | 2017-10-30 |
| 1881104768 | Sharon Stephenson | Peer Specialist | 51 Foster Avenue, North Valley Stream, Valley Stream, NY 11580 | 2017-10-05 |
| 1356850200 | Barry Henderson | Case Manager/Care Coordinator | 23 Marlow Road, Valley Stream, NY 11580 | 2017-09-22 |
| 1922526565 | Aneta Kaczmarski | Physical Therapy Assistant | 299 North Corona Ave, Valley Stream, NY 11580 | 2017-09-05 |
| Find all providers in zip 11580 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326593492 | Marysville Gardens Rehabilitation and Health Care LLC | Skilled Nursing Facility | 99 W Hawthorne Ave, Suite 508, Valley Stream, NY 11580-6163 | 2016-08-18 |
| 1063967131 | Mt. Airy Gardens Rehabilitation and Care Center LLC | Skilled Nursing Facility | 99 W Hawthorne Ave, Suite 508, Valley Stream, NY 11580-6163 | 2016-08-18 |
| 1982159059 | Lansing Gardens Rehabilitation and Care Center LLC | Skilled Nursing Facility | 99 W Hawthorne Ave, Valley Stream, NY 11580-6163 | 2016-08-18 |
| 1609321777 | Garden Healthcare of Rocky River LLC | Skilled Nursing Facility | 99 W Hawthorne Ave, Suite 508, Valley Stream, NY 11580-6163 | 2016-08-18 |
| 1871048942 | Eaton Gardens Rehabilitation and Health Care LLC | Skilled Nursing Facility | 99 W Hawthorne Ave, Suite 508, Valley Stream, NY 11580-6163 | 2016-08-18 |
| 1235684309 | Fairfield Gardens Rehabilitation and Care Center LLC | Skilled Nursing Facility | 99 W Hawthorne Ave, Suite 508, Valley Stream, NY 11580-6163 | 2016-08-18 |
| 1528372141 | Carline Victor | Skilled Nursing Facility | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2010-08-06 |
| 1265649362 | Franklin Hospital | Skilled Nursing Facility | 900 Franklin Ave, Orzac Adminstration, Valley Stream, NY 11580-2145 | 2007-05-17 |
| 1396753224 | Long Island Jewish Medical Center | Skilled Nursing Facility | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2006-08-04 |
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|---|---|---|---|---|
| 1730701343 | Diamond Medical Employment Agency Inc | Skilled Nursing Facility | 21873 Hempstead Ave, Queens Village, NY 11429-2103 | 2020-05-18 |
| 1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
| 1659936334 | Nelson Tannis | Skilled Nursing Facility | 165 Broadway, New York, NY 10006-1404 | 2019-05-07 |
| 1295390029 | Westgate Operations Associates LLC | Skilled Nursing Facility | 525 Beahan Rd, Rochester, NY 14624-3403 | 2019-05-07 |
| 1952883423 | Roscoe Regional Healthcare LLC | Skilled Nursing Facility | 420 Rockland Rd, Roscoe, NY 12776-6450 | 2018-08-31 |
| 1164904769 | Renaissance Healthcare Group, LLC | Skilled Nursing Facility | 4975 Albany Post Rd, Staatsburg, NY 12580-6032 | 2018-08-30 |
| 1477049807 | Itkin Occupational Therapy PC | Skilled Nursing Facility | 134 Mackenzie Street, Brooklyn, NY 11235 | 2018-07-09 |
| 1699280826 | 239 Legris Avenue Operations LLC | Skilled Nursing Facility | 3118 Quentin Rd, Brooklyn, NY 11234-4235 | 2017-12-11 |
| 1376058578 | Yonkers Gardens, LLC | Skilled Nursing Facility | 115 S Broadway, Yonkers, NY 10701-4006 | 2017-12-10 |
| 1104355536 | Massapequa Center LLC | Skilled Nursing Facility | 101 Louden Ave., Amityville, NY 11701 | 2017-06-08 |
| Find all providers with the same taxonomy | ||||
| City | VALLEY STREAM |
| Zip Code | 11580 |
Please comment or provide details below to improve the information on GARDEN REHAB AND HEALTH CARE AT VICTORIAN VILLAGE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.