FRANKLIN MEDICAL CENTER ORZAC NURSING HOME - NPI NUMBER 1396753224

Summary

Provider Name: FRANKLIN MEDICAL CENTER ORZAC NURSING HOME

NPI Number: 1396753224

Clasification: Skilled Nursing Facility (314000000X)

Address:
900 FRANKLIN AVE
VALLEY STREAM, NY
ZIP 11580

Phone Number: (516) 876-6000



Detailed Information

FRANKLIN MEDICAL CENTER ORZAC NURSING HOME is a skilled nursing facility in Valley Stream, NY. The provider is (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. The assigned NPI number for this provider is 1396753224 and is registered as an organization entity type.

The provider's business address is:

900 FRANKLIN AVE
VALLEY STREAM, NY
ZIP 11580-145
Phone: (516) 876-6000
Fax: (516) 876-6600

The provider's authorized official is Robert S. Shapiro .
The authorized official title is Senior Vice President & Cfo and has the following contact phone number (516) 465-8162.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 7/8/2007.

Map - Location of Practice

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1265649362 FRANKLIN HOSPITAL
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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 314000000X Skilled Nursing Facility 2910000N NY Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 33-5700 MEDICARE ID-TYPE UNSPECIFIED NY MEDICARE PROVIDER NUMBER

NPI Record

No. Field Name Field Value
1 NPI 1396753224
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name FRANKLIN MEDICAL CENTER ORZAC NURSING HOME
5 Provider First Line Business Practice Location Address 900 FRANKLIN AVE
6 Provider Business Practice Location Address City Name VALLEY STREAM
7 Provider Business Practice Location Address State Name NY
8 Provider Business Practice Location Address Postal Code 115802145
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 5168766000
11 Provider Business Practice Location Address Fax Number 5168766600
12 Provider Enumeration Date 8/4/2006
13 Last Update Date 7/8/2007
14 Authorized Official Last Name SHAPIRO
15 Authorized Official First Name ROBERT
16 Authorized Official Middle Name S.
17 Authorized Official Title or Position SENIOR VICE PRESIDENT & CFO
18 Authorized Official Telephone Number 5164658162
19 Healthcare Provider Taxonomy Code 1 314000000X
20 Provider License Number 1 2910000N
21 Provider License Number State Code 1 NY
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Other Provider Identifier 1 33-5700
24 Other Provider Identifier Type Code 1 04
25 Other Provider Identifier State 1 NY
26 Other Provider Identifier Issuer 1 MEDICARE PROVIDER NUMBER
27 Authorized Official Name Prefix Text MR.

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This page was last updated on: 4/14/2014
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