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AUTUMN LAKE HEALTHCARE AT LONG GREEN , NPI 1043896814

Skilled Nursing Facility in BROOKLYN, NY

Last Updated on : Mar 22,2021

AUTUMN LAKE HEALTHCARE AT LONG GREEN , NPI 1043896814

About AUTUMN LAKE HEALTHCARE AT LONG GREEN (NPI 1043896814)


AUTUMN LAKE HEALTHCARE AT LONG GREEN (115 EAST MELROSE OPCO LLC) is a Skilled Nursing Facility in BROOKLYN, United States .

1043896814 is NPI number of AUTUMN LAKE HEALTHCARE AT LONG GREEN.

AUTUMN LAKE HEALTHCARE AT LONG GREEN's primary taxonomy code based on NPI Lookup is 314000000X with license number . This taxonomy code refers to Skilled Nursing Facility.

AUTUMN LAKE HEALTHCARE AT LONG GREEN current practice location address is 14C 53RD ST, BROOKLYN, NY.

You can also correspond with AUTUMN LAKE HEALTHCARE AT LONG GREEN through mail at mailing address 115 E MELROSE AVE, BALTIMORE, MD, United States. Mailing address contact number is 877-567-0402.

The enumeration date of AUTUMN LAKE HEALTHCARE AT LONG GREEN is 22-Mar-2021. The provider is registered as an Organization and the NPI record was last updated 2 years ago.

The authorized official of AUTUMN LAKE HEALTHCARE AT LONG GREEN is SAM STERN (CFO). SAM STERN can be reached at 8775670402.

1043896814 NPI Information

Basic NPI information of AUTUMN LAKE HEALTHCARE AT LONG GREEN (NPI 1043896814) is provided below.

Name AUTUMN LAKE HEALTHCARE AT LONG GREEN
National Provider Id (NPI) 1043896814
Entity Type Organization
Practice Address 14C 53RD ST,
BROOKLYN, NY, United States
Practice Telephone
Practice Fax Number
Mailing Address 115 E MELROSE AVE ,
BALTIMORE, MD, United States
Mailing Telephone 877-567-0402
Mailing Fax Number
Enumeration Date 22-Mar-2021
Last Updated Date 22-Mar-2021

AUTUMN LAKE HEALTHCARE AT LONG GREEN (NPI 1043896814) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 314000000X Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

AUTUMN LAKE HEALTHCARE AT LONG GREEN (NPI 1043896814) Secondary Taxonomy Information

The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.

Primary Taxonomy Code Clasification License Number License State
N 385H00000X Respite Care
N 313M00000X Nursing Facility/Intermediate Care Facility

AUTUMN LAKE HEALTHCARE AT LONG GREEN (NPI 1043896814) Office Location

Office location of AUTUMN LAKE HEALTHCARE AT LONG GREEN is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1013309533 .COLUMBIA STREET LIMOUSINE SERVICE INC Non-emergency Medical Transport (VAN) 429 COLUMBIA ST,
BROOKLYN, NY, United States
19-Feb-2015
1982298899 1 OF A KIND HOME HEALTH CARE LLC Home Health 148 GEORGE ST,
BROOKLYN, NY, United States
22-Feb-2021
1164442182 1 WISE PODIATRY CARE P.C. Clinic/Center, Podiatric 3079 BRIGHTON 13TH ST,
BROOKLYN, NY, United States
20-Jul-2006
1053857516 100 STREET ACUPUNCTURE PC Acupuncturist 277 88TH ST,
BROOKLYN, NY, United States
09-Jan-2017
1457065815 101 DENTAL PLLC Clinic/Center, Dental 101 BEDFORD AVE,
BROOKLYN, NY, United States
10-Jan-2023
1306008347 106-03 FLATLANDS AVENUE # 3A Day Training, Developmentally Disabled Services 10603 FLATLANDS AVE,
BROOKLYN, NY, United States
01-Jul-2008
1982130043 110 METRO DRUGS, INC. Pharmacy 2061 ATLANTIC AVE,
BROOKLYN, NY, United States
11-May-2017
1730638115 1110 PENNSYLVANIA AVENUE MEDICAL PLLC Clinic/Center, Urgent Care 1110 PENNSYLVANIA AVE, SUITE 5
BROOKLYN, NY, United States
27-Sep-2016
1790804227 1120 BRIGHTON MEDICAL GROUP Clinical Medical Laboratory 1120 BRIGHTON BEACH AVE, STE #1X
BROOKLYN, NY, United States
28-Mar-2007
1043896814 115 EAST MELROSE OPCO LLC Respite Care 14C 53RD ST,
BROOKLYN, NY, United States
22-Mar-2021
1932265642 115 IRVING AVE PHARMACY INC Pharmacy 1706B ATLANTIC AVE,
BROOKLYN, NY, United States
28-Dec-2006
1467198788 11974 EDGEHILL TERRACE OPCO LLC Nursing Facility/Intermediate Care Facility 14C 53RD ST,
BROOKLYN, NY, United States
10-May-2022
1225610603 12 STEPS WELLNESS LIVING Nurse Practitioner, Adult Health 4522 CLARENDON RD,
BROOKLYN, NY, United States
25-Apr-2021
1609375930 121 CENTRAL PHARMACY CORP Pharmacy, Community/Retail Pharmacy 121 KENT AVE,
BROOKLYN, NY, United States
01-Feb-2018
1912583683 1221 WAUGH CHAPEL OPCO LLC Nursing Facility/Intermediate Care Facility 14C 53RD ST,
BROOKLYN, NY, United States
22-Mar-2021
1740611029 123 LEARN TO SPEAK, INC Early Intervention Provider Agency 488 85TH ST, 4F
BROOKLYN, NY, United States
11-Dec-2013
1124573175 1325 FIFTH AVE DRUGS INC Pharmacy, Community/Retail Pharmacy 3206 MERMAID AVE,
BROOKLYN, NY, United States
19-Aug-2016
1427785930 1354 NYC OPTICAL LLC Optometrist 1354 PA AVE,
BROOKLYN, NY, United States
04-Aug-2022
1083341127 1377 EAST 17TH STREET LLC Clinic/Center, Mental Health (Including Community Mental Health Center) 3626 BAYVIEW AVE,
BROOKLYN, NY, United States
08-Aug-2022
1801195250 13TH AVE PHARMACY INC. Pharmacy, Community/Retail Pharmacy 5211 13TH AVE,
BROOKLYN, NY, United States
24-Mar-2011

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1043896814?

1043896814 is the NPI number of AUTUMN LAKE HEALTHCARE AT LONG GREEN.

Where is AUTUMN LAKE HEALTHCARE AT LONG GREEN located?

AUTUMN LAKE HEALTHCARE AT LONG GREEN is located at 14C 53RD ST, BROOKLYN, NY.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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