Park House Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

00312487 Issued in NY

Legal business name

PARK HOUSE CARE CENTER LLC

Practice address

128 Beach 115 Street
Rockaway Beach, NY 11694

Phone

(718) 474-6400

Fax

(718) 474-3663

NPI assigned

Jul 2, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Michael Melnicke

Title

Owner

Phone

(718) 474-6400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Skilled nursing facility certification: CCN 335093

Legal name

PARK HOUSE CARE CENTER LLC

Doing business as

PARK NURSING HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1967

Last certification

Nov 2, 2023

Beds

196

Ownership / control type

Individual

Organization structure

LLCProprietary

Enrollment address

128 Beach 115TH St
Rockaway Park, NY 11694-2408

Nursing home name

PARK NURSING HOME

Listed as

Park Nursing HomeCCN 335093

Overall star rating

2 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

196190.2 residents per day on average

Penalties (3 years)

1Fines totaling $9,318

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 1

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

Practitioners 4

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

• Peter Andrew Galvin, MD

  • Internal Medicine Physician
  • Rockaway Park, NY
  • NPI 1962588731
  NPD (past)
• Mark Ilyagu, MD

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1073994711
  NPD (past)
• Shaya Khabyeh-Hasbani, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1346299047
  NPD (past)
• Isaac Madeb, MD

  • Urology Physician
  • Brooklyn, NY
  • NPI 1467452086
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Mark Ilyagu, MD

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1073994711

  Nursing home

  Care Compare affiliation
• Shaya Khabyeh-Hasbani, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1346299047

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1154584886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 BEACH 115 STREET",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "11694",
            "telephone_number": "718-474-6400",
            "fax_number": "718-474-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 BEACH 115 STREET",
            "city": "ROCKAWAY BEACH",
            "state": "NY",
            "postal_code": "11694",
            "telephone_number": "718-474-6400",
            "fax_number": "718-474-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK HOUSE CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "MELNICKE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-474-6400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "00312487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NF Med Supplies Corp
• Anna Lee Nowierski, RPH
• Suhailey Nunez, LMHC
• Gabriela Mar Ortiz, LCAT, ATR-BC, ATCS
• Debra Oxley, SOCIAL WORKER
• Rebecca Parker, L.AC., MSOM
• Chivone S Paulson, NP
• Lynette Jacqueline Perry, OTR/L
• Tanisha Eboni Peters, LPN
• Picture Properties Inc,

• Skilled Nursing Facility in Rockaway Beach, NY
• Providers in Rockaway Beach, 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 Apr 22, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.