WILLOUGHBY REHABILITATION AND HEALTH CARE CENTER LLC (NPI# 1306892070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306892070 |
| Entity Type | Organization |
| Organization Name | WILLOUGHBY REHABILITATION AND HEALTH CARE CENTER LLC |
| Other Organization Name | SPRING CREEK REHABILITATION & NURSING CARE CENTER |
| Practice Address |
660 Louisiana Avenue Brooklyn NY 11239 |
| Practice Telephone | 7186697100 |
| Practice Fax Number | 7186697300 |
| Mailing Telephone | 7186697100 |
| Mailing Fax Number | 7186697300 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2018-12-18 |
| Authorized Official Name | ANSHEL SCHIFF (CONTROLLER) |
| Authorized Official Telephone | 7186697100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 7001384N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | OP CERT NUMBER | 7001384N | 01 |
| NY | 02165346 | 05 |
| Other Name | Type Code |
|---|---|
| SPRING CREEK REHABILITATION & NURSING CARE CENTER | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | WILLOUGHBY REHABILITATION AND HEALTH CARE CENTER LLC | 949 Willoughby Avenue, Brooklyn, New York 11221 |
| Street Address |
660 LOUISIANA AVENUE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486259 | Nicole Shari Clarke | Registered Nurse | 185 Arzly Loop, Brooklyn, NY 11239 | 2020-04-23 |
| 1760922348 | Justin Hinds | Licensed Practical Nurse | 1280 Croton Loop Apt. 5g, Brooklyn, NY 11239 | 2017-03-02 |
| 1003293119 | Nichole Atterbury | Licensed Practical Nurse | 200 Bethel Loop Apt11c, Brooklyn, NY 11239 | 2015-04-28 |
| 1770836983 | Micheline Mesidor | Early Intervention Provider Agency | 1201 Pennsylvania Avenue 15 H, Brooklyn, NY 11239 | 2012-10-25 |
| 1336498427 | Samuel Omotoye | Registered Nurse | 1425 Pennsylvanie Avenue, Apt. 16f, Brooklyn, NY 11239 | 2012-09-05 |
| 1659681179 | Leonida Sentillas Griffith | Occupational Therapy Assistant | 1155 Pennsylvania Avenue, Apartment 16d, Brooklyn, NY 11239 | 2010-10-18 |
| 1578887717 | Gail Marie Swayne | Speech-Language Pathologist | 562 Lousiana Avenue, Brooklyn, NY 11239 | 2010-03-17 |
| 1376626994 | Priscila Siagan Zabala | Internal Medicine | 614 Louisiana Ave, Suite I, Brooklyn, NY 11239 | 2006-10-24 |
| 1053402370 | Nabil Raoof | Pediatrics | 1390 Pennsylvania Avenue, Brooklyn, NY 11239 | 2006-09-28 |
| 1346781978 | Tonisha Thompson | Pharmacist | 1184 Elton St, Brooklyn, NY 11239 | 2017-03-15 |
| Find all providers in zip 11239 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1194142661 | Hunter Services Center Inc. | Skilled Nursing Facility | 202 E 91st St, A19, Brooklyn, NY 11212-1355 | 2014-03-24 |
| 1477986172 | Hamilton Park Opco LLC | Skilled Nursing Facility | 14c 53rd St, Brooklyn, NY 11232-2644 | 2013-08-16 |
| 1578899076 | Hamilton Park Multicare LLC | Skilled Nursing Facility | 691 92nd St Fl 2, Brooklyn, NY 11228 | 2009-10-19 |
| 1497994800 | Ditmas Park Rehabilitation & Care Center LLC | Skilled Nursing Facility | 2107 Ditmas Ave, Brooklyn, NY 11226-6903 | 2009-02-09 |
| 1992950976 | Menorah Home and Hospital for Aged and Infirm | Skilled Nursing Facility | 871 Bushwick Ave, Brooklyn, NY 11221-3739 | 2008-11-18 |
| 1043492416 | Embassy Snf LLC | Skilled Nursing Facility | 921 E 31st St, Suite 101, Brooklyn, NY 11210-3831 | 2007-11-28 |
| 1376743112 | American Biomed Homecare | Skilled Nursing Facility | 11 Wyona St, Brooklyn, NY 11207-2515 | 2007-07-19 |
| 1881719078 | Etienne Home Care Services,inc | Skilled Nursing Facility | 2920a Cortelyou Rd, Brooklyn, NY 11226 | 2007-03-20 |
| Find all providers in BROOKLYN | ||||
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| 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.