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ELM YORK DBA ELM YORK ALP NPI 1467659482


NPI Information

NPI: 1467659482
Provider Name: ELM YORK DBA ELM YORK ALP

Former Legal Business Name: TIBOR KLEIN DBA ELM YORK ALP

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 33D2146323

Address:
100-30 DITMARS BLVD
EAST ELMHURST, NY
ZIP 11369
Phone: (718) 446-7900
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ELM YORK DBA ELM YORK ALP is an assisted living facility in East Elmhurst, NY. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ELM YORK DBA ELM YORK ALP NPI is 1467659482. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Tibor Klein Dba Elm York Alp.

The provider's business location address is:

100-30 DITMARS BLVD
EAST ELMHURST, NY
ZIP 11369-333
Phone: (718) 446-7900
Fax: (718) 446-7938

The provider's authorized official is Tibor Klein .
The authorized official title is Member and has the following contact phone number (718) 446-7900.

The CLIA number assigned to this NPI record is 33D2146323 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2007 and was last updated on 10/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
1310400000XAssisted Living Facility590 F 319NEW YORKNo
2310400000XAssisted Living Facility590-F-107NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101448273MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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