Organization
SILVER LAKE SPECIALIZED REHABILITATION & CARE CENTER, LLC
Active
Other names
SILVER LAKE SPECIALIZED, Silver Lake Specialized Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KRAUS LNHA (ADMINISTRATOR)
(718) 447-7800
Entity
Organization
Contact information
Practice address
275 CASTLETON AVE, STATEN ISLAND, NY 10301-2709
(718) 447-7800
(718) 448-8385
Mailing address
275 CASTLETON AVE, STATEN ISLAND, NY 10301-2709
(718) 447-7800
(718) 448-8385
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7004323N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00308732
—
NY
01
—
009553
BLUE CROSS - BLUE SHIELD
NY
01
—
335196
HIP
NY
Enumeration date
09/27/2005
Last updated
07/15/2022
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