# PARK INN HOME

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760190599
- **Authorized official:** JENNIFER GRAJALES (DIRECTOR OF SPECIAL PROJECTS)
- **Authorized official phone:** (347) 988-4535

## Contact information

- **Practice address:** 11502 OCEAN PROMENADE, ROCKAWAY PARK, NY 11694-2412
- **Practice address phone:** (718) 634-3400
- **Mailing address:** 2357 60TH ST, BROOKLYN, NY 11204-2689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/10/2022
- **Last updated:** 11/10/2022