Parkshore Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

7001641 Issued in NY

Legal business name

PARKSHORE HEALTHCARE LLC

Practice address

1535 Rockaway Pkwy
Brooklyn, NY 11236-4001

Phone

(718) 927-6346

Fax

(718) 272-2166

NPI assigned

Oct 12, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nathan Zelcer

Title

Controller

Phone

(718) 927-6346

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ann Friedman, APN

  • Family Nurse Practitioner
  • Lakewood, NJ
  • NPI 1225571557
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1023568185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364001",
            "telephone_number": "718-927-6346",
            "fax_number": "718-272-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364001",
            "telephone_number": "718-927-6346",
            "fax_number": "718-272-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSHORE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "ZELCER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "718-927-6346"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "7001641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02995779",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OPERATING CERTF. #",
            "identifier": "7001641",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia A Parkinson, CRC, LCSW
• Heather Elizabeth Parks, OTL
• Jessica Parks, L.AC.
• Parkshore Health Care LLC (Four Seasons Nursing & Rehab Center)
• Parkshore Health Care LLC (Four Seasons Nrs & Reh Ctr ADHC)
• Parkshore Healthcare LLC (Four Seasons Nursing & Rehabilitation Center)
• Parkshore Home Health Care LLC (Renaissance Home Health Care)
• Parkside Dental PC
• Parkside Dental PC
• Parkside Express Pharmacy, Inc.

• Home Health Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.