Organization
GREATER HARLEM NURSING HOME AND REHABILITATION CENTER, INC.
Active
Other names
Greater Harlem Nursing Home Co., Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS M. FORISTALL (ADMINISTRATOR/CEO)
(212) 690-7400
Entity
Organization
Contact information
Practice address
30 WEST 138TH STREET, NEW YORK, NY 10037-1710
(212) 690-7400
(212) 926-1799
Mailing address
30 WEST 138TH STREET, NEW YORK, NY 10037-1710
(212) 690-7400
(212) 926-1799
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7002341N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00309311
—
NY
01
—
7002341N
NURSING HOME OPERATING LC
NY
01
—
9637
EMPIRE BCBS
NY
Enumeration date
10/26/2006
Last updated
04/30/2009
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