Organization Active NPI

Regal Heights Rehab & Health Care Center Adult Day Health Care

  • Skilled Nursing Facility
  • Jackson Heights, NY
National Provider Identifier
1124210661
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7003397N Issued in NY
Legal business name
REGAL HEIGHTS REHAB & HEALTH CARE CENTER ADULT DAY HEALTH CARE
Practice address
7005 35TH Ave
Jackson Heights, NY 11372-3970
Phone
(718) 662-5100
Fax
(718) 565-9700
NPI assigned
Aug 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Authorized official

Name
Kwang Lee
Title
Administrator
Phone
(718) 662-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 7003397N NY Primary

Addresses

Primary practice location

7005 35TH Ave
Jackson Heights, NY 11372-3970

Mailing address

7005 35TH Ave
Jackson Heights, NY 11372-3970
Phone (718) 662-5100

Other identifiers 1

IdentifierTypeStateIssuer
02491463MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Jackson Heights Care Center LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1124210661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 35TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723970",
            "telephone_number": "718-662-5100",
            "fax_number": "718-565-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 35TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723970",
            "telephone_number": "718-662-5100",
            "fax_number": "718-565-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGAL HEIGHTS REHAB & HEALTH CARE CENTER ADULT DAY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KWANG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-662-5100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7003397N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02491463",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.