QUEENS BOULEVARD EXTENDED CARE FACILITY is a nursing facility intermediate care facility in Woodside, NY. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. QUEENS BOULEVARD EXTENDED CARE FACILITY NPI is 1548253313. The provider is registered as an organization entity type.
The provider's business location address is:
6111 QUEENS BLVD
WOODSIDE, NY
ZIP 11377-965
Phone: (718) 205-0287
Fax: (718) 205-1342
The provider's authorized official is Steven J Cohen .
The authorized official title is Finance Director and has the following contact phone number (718) 205-0287.
The CLIA number assigned to this NPI record is 33D0910732 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/26/2005 and was last updated on 8/22/2020.