Organization
HAMPTON NH OPERATING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHLOMO BOEHM (MANAGING MEMBER)
(718) 360-8083
Entity
Organization
Contact information
Practice address
78 OLD COUNTRY RD, WESTHAMPTON, NY 11977-1219
(718) 360-8083
(718) 380-0455
Mailing address
460 BAYVIEW AVE, INWOOD, NY 11096-1702
(718) 360-8083
(718) 380-0455
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5158301N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01561724
—
NY
01
—
335782
MEDICARE
NY
Enumeration date
12/27/2017
Last updated
12/27/2017
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