Ltc Provider Management Corp

LBN: Ltc Provider Management Corp
Ltc Provider Management Corp is an health care organization with primary practice located at 30 Wood Rd , Port Washington NY 11050-2625. 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. Ltc Provider Management Corp can be contacted via phone (516) 652-7647, or through Gombert, Myles Edward via phone (516) 652-7647.

Contact Information

Primary practice address
30 Wood Rd Port Washington NY 11050-2625
Phone: (516) 652-7647
Fax: (516) 944-2385
Website:
Map and Directions
Authorized official contact:
Name: Gombert, Myles Edward Doctor of Medicine (MD)
Phone: (516) 652-7647

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 129224 New York

Profile Details

NPI number 1346694502
LBN Legal business name Ltc Provider Management Corp
DBA Doing business as
Authorized official Gombert, Myles Edward Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2016
Last updated Mar 27th, 2017 - about 9 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 1346694502 NPPES
New York Other 45A201 PTAN

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