Queens Boulevard Extended Care Facility

LBN: Queens Boulevard Extended Care Facility
Queens Boulevard Extended Care Facility is an health care organization with primary practice located at 6111 Queens Blvd , Woodside NY 11377-4965. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Queens Boulevard Extended Care Facility can be contacted via phone (718) 205-0287, or through Cohen, Steven J via phone (718) 205-0287.

Contact Information

Primary practice address
6111 Queens Blvd Woodside NY 11377-4965
Phone: (718) 205-0287
Fax: (718) 205-1342
Website:
Map and Directions
Authorized official contact:
Name: Cohen, Steven J
Phone: (718) 205-0287

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 7003390N New York

Profile Details

NPI number 1548253313
LBN Legal business name Queens Boulevard Extended Care Facility
DBA Doing business as
Authorized official Cohen, Steven J
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1548253313 NPPES
New York MEDICAID 01626686
New York MEDICAID 01710672
New York MEDICAID 7003390N

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