PARK AVENUE OPERATING COMPANY LLC (NPI# 1720111479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720111479 |
| Entity Type | Organization |
| Organization Name | PARK AVENUE OPERATING COMPANY LLC |
| Practice Address |
425 National Blvd Long Beach NY 11561-2031 |
| Practice Telephone | 5164312600 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2014-11-21 |
| Authorized Official Name | JEFFREY GOLDSTEIN (OFFICER) |
| Authorized Official Telephone | 5168693700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2902306N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02001229 | 05 |
| Street Address |
425 NATIONAL BLVD |
| City | LONG BEACH |
| State | NY |
| Zip Code | 11561-2031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437406717 | Sharon Kathy-ann Glasgow | Registered Nurse | 425 National Blvd, Long Beach, NY 11561-2031 | 2012-08-06 |
| 1831420629 | Mary A Davis | Licensed Practical Nurse | 425 National Blvd, Long Beach, NY 11561 | 2010-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083246961 | Romina Zitofsky | Community Health Worker | 65 Pacific Blvd, Long Beach, NY 11561 | 2020-02-07 |
| 1710519038 | Can Flei Corp. | Massage Therapist | 116 Taft Ave., Long Beach, NY 11561 | 2020-02-05 |
| 1073032199 | Sherrie Cooper | Behavior Technician | 554 East Pine Street, Long Beach, NY 11561 | 2017-09-11 |
| 1437679354 | Alana Doonachar | Physician Assistant | 100 Belmont Avenue, Long Beach, NY 11561 | 2017-06-21 |
| 1023547452 | Tina Bayer | Nurse Practitioner | 427 East Chester Street 2nd Floor, Long Beach, NY 11561 | 2017-06-08 |
| 1316483977 | Taylor Nicole Paganini | Massage Therapist | 252 Grand Blvd, Long Beach, NY 11561 | 2017-01-06 |
| 1265803688 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 85 East Park Ave, Long Beach, NY 11561 | 2015-10-12 |
| 1588048797 | Carol Bell | Behavioral Analyst | 121 Harding Avenue, Long Beach, NY 11561 | 2015-07-17 |
| 1811378821 | Patricia Harris | Case Manager/Care Coordinator | 72 Illinios Avenue, Long Beach, NY 11561 | 2015-06-16 |
| 1164801916 | Antonia Dileo | Marriage & Family Therapist | 36 Prescott Street, Lido Beach, NY 11561 | 2015-05-27 |
| Find all providers in zip 11561 | ||||
| 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 |
|---|---|---|---|---|
| 1073114807 | The Healing Sanctum-greenmeadow, LLC | Skilled Nursing Facility | 5302 E Greenmeadow Rd, Long Beach, CA 90808-1620 | 2020-11-06 |
| 1447791959 | Retirement Housing Foundation | Skilled Nursing Facility | 911 N Studebaker Rd, Long Beach, CA 90815-4900 | 2017-03-16 |
| 1063877223 | Sincerity Homes, LLC | Skilled Nursing Facility | 2910 De Forest Ave, Long Beach, CA 90806-1405 | 2015-12-15 |
| 1487046900 | Hallmark Rehab | Skilled Nursing Facility | 1803 Termino Ave, #2402, Long Beach, CA 90815-2691 | 2015-02-19 |
| 1063800274 | Hallmark Rehab | Skilled Nursing Facility | 2401 Cedar Ave, Long Beach, CA 90807 | 2014-12-23 |
| 1356694483 | Ephesian Wellness Center, Inc | Skilled Nursing Facility | 723 E 9th St., Long Beach, CA 90813 | 2012-10-26 |
| 1083935746 | Genesis Healthcare Center, Inc | Skilled Nursing Facility | 1201 Walnut Ave, Long Beach, CA 90813-3822 | 2010-06-17 |
| 1245422187 | Ridgill Johnson Properties, Inc | Skilled Nursing Facility | 3557 Atlantic Avenue, Suite 188, Long Beach, CA 90807 | 2007-08-14 |
| 1053453902 | Covenant Care California, LLC | Skilled Nursing Facility | 2725 Pacific Avenue, Long Beach, CA 90806-2612 | 2007-02-13 |
| 1659424745 | Intercommunity Care Centers, Inc. | Skilled Nursing Facility | 2626 Grand Ave, Long Beach, CA 90815-1707 | 2007-01-19 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 11561 |
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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.