Parkshore Health Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

7001385N Issued in NY

Legal business name

PARKSHORE HEALTH CARE LLC

Practice address

1555 Rockaway Pkwy
Brooklyn, NY 11236-4001

Phone

(718) 927-6300

Fax

(718) 272-2166

NPI assigned

Aug 28, 2009

Organization subpart

No

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

Authorized official

Name

Barry Friedman

Title

Ceo

Phone

(718) 927-6300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Four Seasons Nursing & Rehab Center Doing business as

Tax ID family

Four Seasons NRS Reh Ctr Adhc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Parkshore Health Care LLC

  • Adult Day Care Clinic/Center
  • Brooklyn, NY
  • NPI 1568695450
  NPD tax ID

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251417600000",
    "number": "1104059856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364001",
            "telephone_number": "718-927-6300",
            "fax_number": "718-272-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364001",
            "telephone_number": "718-927-6300",
            "fax_number": "718-272-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSHORE HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-28",
        "last_updated": "2009-08-28",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-927-6300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7001385N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00843485",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Seasons Nursing & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Parkinson, M.D.
• Jay Daniel Parkinson, M.D.
• Patricia A Parkinson, CRC, LCSW
• Heather Elizabeth Parks, OTL
• Jessica Parks, L.AC.
• Parkshore Health Care LLC
• Parkshore Healthcare LLC
• Parkshore Healthcare LLC
• Parkshore Home Health Care LLC
• Parkside Dental PC

• Skilled Nursing Facility in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.