Organization
PARKSHORE HEALTHCARE LLC
Active
Other names
Four Seasons Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY FRIEDMAN (CEO)
(718) 927-6300
Entity
Organization
Contact information
Practice address
1535 ROCKAWAY PKWY, BROOKLYN, NY 11236-4001
(718) 927-6300
(718) 272-2166
Mailing address
1555 ROCKAWAY PKWY, BROOKLYN, NY 11236-4001
(718) 927-6300
(718) 272-2166
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
7001641
NY
251E00000X
Home Health Agency
7001916L
NY
314000000X
Skilled Nursing Facility
Primary
7001385N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00843485
—
NY
05
—
02995779
—
NY
01
—
3227
PFI
NY
01
—
7001361N
STATE OPERATING CERTF. #
NY
01
—
7001385N
STATE OPERATING CERT #
—
01
—
7001641
STATE OPER CERT# CHHA
NY
01
—
7001916L
STATE OPER CERT# LTHHCP
—
Enumeration date
08/09/2005
Last updated
01/30/2015
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