Skilled Nursing Facility in BROOKLYN, NY
Last Updated on : Mar 22,2021
AUTUMN LAKE HEALTHCARE AT PERRING PARKWAY (1801 WENTWORTH OPCO LLC) is a Skilled Nursing Facility in BROOKLYN, United States .
1497331268 is NPI number of AUTUMN LAKE HEALTHCARE AT PERRING PARKWAY.
AUTUMN LAKE HEALTHCARE AT PERRING PARKWAY'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 PERRING PARKWAY current practice location address is 14C 53RD ST, BROOKLYN, NY.
You can also correspond with AUTUMN LAKE HEALTHCARE AT PERRING PARKWAY through mail at mailing address 1801 WENTWORTH RD, BALTIMORE, MD, United States. Mailing address contact number is 877-567-0402.
The enumeration date of AUTUMN LAKE HEALTHCARE AT PERRING PARKWAY 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 PERRING PARKWAY is SAM STERN (CFO). SAM STERN can be reached at 8775670402.Basic NPI information of AUTUMN LAKE HEALTHCARE AT PERRING PARKWAY (NPI 1497331268) is provided below.
Name | AUTUMN LAKE HEALTHCARE AT PERRING PARKWAY |
---|---|
National Provider Id (NPI) | 1497331268 |
Entity Type | Organization |
Practice Address | 14C 53RD ST,
BROOKLYN, NY, United States |
Practice Telephone | |
Practice Fax Number | |
Mailing Address | 1801 WENTWORTH RD ,
BALTIMORE, MD, United States |
Mailing Telephone | 877-567-0402 |
Mailing Fax Number | |
Enumeration Date | 22-Mar-2021 |
Last Updated Date | 22-Mar-2021 |
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.
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 |
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 |
1972380921 | 1 EMILY WAY OPCO LLC | Respite Care | 14C 53RD ST,
BROOKLYN, NY, United States |
13-Sep-2023 |
1154108116 | 1 GLEN HILL RD OPCO LLC | Nursing Facility/Intermediate Care Facility | 14C 53RD ST,
BROOKLYN, NY, United States |
13-Sep-2023 |
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 | 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 |
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 | 3626 BAYVIEW AVE,
BROOKLYN, NY, United States |
08-Aug-2022 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1497331268 is the NPI number of AUTUMN LAKE HEALTHCARE AT PERRING PARKWAY.
Where is AUTUMN LAKE HEALTHCARE AT PERRING PARKWAY located?AUTUMN LAKE HEALTHCARE AT PERRING PARKWAY is located at 14C 53RD ST, BROOKLYN, NY.
Field Name | Field Value |
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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:
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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:
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