Active NPI
Fairview Nursing Care Center Inc
- Skilled Nursing Facility
- Forest Hills, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 7003375N
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00942461 | Medicaid | NY | |
| 02994558 | Medicaid | NY |
Other names 1
- FAIRVIEW NURSING HOME
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Hempstead, NY
- NPI 1225601727
O20210910000337
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Fairview Nursing Care Center Inc.
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Sep 1, 1968
- Medicare certification status
- Active
- Certified beds
- 200
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2184641 | Fairview Nursing Center | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Fairview Nursing Care Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Endocrinology, Diabetes & Metabolism Physician
- Hempstead, NY
- NPI 1225601727
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Yaakov Klein | 5% Or Greater Direct Ownership Interest | Oct 3, 2019 | 99% |
| Direct Ownership Interest | Oct 3, 2019 | 99% | |
| Aleem Anthony Ali | Operational/Managerial Control | Sep 30, 2022 | |
| Adp of the SNF | Sep 30, 2022 | ||
| Sara D Klein | 5% Or Greater Direct Ownership Interest | Dec 19, 2011 | 1% |
| Direct Ownership Interest | Dec 19, 2011 | 1% | |
| Zeny B Villareal | 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.
-
- Internal Medicine Physician
- Woodside, NY
- NPI 1497076129
Adp of the SNF, Operational/Managerial Control
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.
-
- Adult Care Home Facility
- Brooklyn, NY
- NPI 1114474160
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Oceanside, NY
- NPI 1285024034
-
- Internal Medicine Physician
- Woodside, NY
- NPI 1497076129
-
- Primary Podiatric Medicine Podiatrist
- Teaneck, NJ
- NPI 1588687453
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.