Organization Active NPI

Fairview Nursing Care Center Inc

  • Skilled Nursing Facility
  • Forest Hills, NY
National Provider Identifier
1194733642
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7003375N Issued in NY
Legal business name
FAIRVIEW NURSING CARE CENTER INC
Practice address
6970 Grand Central Pkwy
Forest Hills, NY 11375-3949
Phone
(718) 263-4600
Fax
(718) 263-4910
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Ms. Rahchel Hoffert, LNHA
Title
Administrator
Phone
(718) 263-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 7003375N NY Primary

Addresses

Primary practice location

6970 Grand Central Pkwy
Forest Hills, NY 11375-3949

Mailing address

6970 Grand Central Pkwy
Forest Hills, NY 11375-3949
Phone (718) 263-4600

Other identifiers 2

IdentifierTypeStateIssuer
00942461MedicaidNY
02994558MedicaidNY

Other names 1

  • FAIRVIEW NURSING HOME Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111201000587 NY Part A Provider - Skilled Nursing Facility 9931373925 Practice locations: Forest Hills, NY
O20210910000337 NY Part B Supplier - Clinic/Group Practice 3870999279 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Forest Hills, NY; Hempstead, NY; Jackson Heights, NY

Skilled nursing facility certification: CCN 335146

Legal name
FAIRVIEW NURSING CARE CENTER INC
Doing business as
FAIRVIEW NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1968
Last certification
Nov 15, 2023
Beds
200
Ownership / control type
Individual
Organization structure
CorporationProprietary
Incorporated
Jan 1, 1991 in NY
Enrollment address
69 70 Grand Central Pkwy
Forest Hills, NY 11375-3949
Nursing home name
FAIRVIEW NURSING CARE CENTER INC.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Fairview Nursing Care Center Inc.CCN 335146
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Sep 1, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
200197.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2184641Fairview Nursing Center6970 Grand Central Pkwy, Forest Hills, NY 11375Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Fairview Nursing Care Center2 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.

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Yaakov Klein Individual 5% Or Greater Direct Ownership InterestOwner Operator Oct 3, 2019 99%
Direct Ownership Interest Oct 3, 2019 99%
Aleem Anthony Ali Individual Operational/Managerial Control Sep 30, 2022
Adp of the SNF Sep 30, 2022
Sara D Klein Individual 5% Or Greater Direct Ownership Interest Dec 19, 2011 1%
Direct Ownership Interest Dec 19, 2011 1%
Zeny B Villareal Individual Operational/Managerial Control Nov 25, 2024
Adp of the SNF Nov 25, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1194733642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6970 GRAND CENTRAL PKWY",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753949",
            "telephone_number": "718-263-4600",
            "fax_number": "718-263-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6970 GRAND CENTRAL PKWY",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753949",
            "telephone_number": "718-263-4600",
            "fax_number": "718-263-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW NURSING CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "HOFFERT",
        "authorized_official_first_name": "RAHCHEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-263-4600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7003375N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00942461",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02994558",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAIRVIEW NURSING HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.