Active NPI
Elmhurst Care Center Inc
- Skilled Nursing Facility
- East Elmhurst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ELMHURST CARE CENTER INC
- Practice address
- 10017 23Rd Avenue
East Elmhurst, NY 11369 - Phone
- (718) 205-8100
- Fax
- (718) 507-7503
- NPI assigned
- Nov 14, 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
- Yossi Kraus
- Title
- Ast Administrator
- Phone
- (718) 247-6141
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
10017 23Rd Avenue
East Elmhurst, NY 11369
Mailing address
10017 23Rd Avenue
East Elmhurst, NY 11369
Phone (718) 205-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01945019 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070531000120 | NY | Part A Provider - Skilled Nursing Facility | 8820196751 | Practice locations: East Elmhurst, NY |
Skilled nursing facility certification: CCN 335814
- Legal name
- ELMHURST CARE CENTER, INC.
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 20, 1999
- Last certification
- Jul 3, 2024
- Beds
- 240
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Jul 11, 1996 in NY
- Enrollment address
- 10017 23Rd Ave
East Elmhurst, NY 11369-1305 - Nursing home name
- ELMHURST CARE CENTER, INC,
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Elmhurst Care Center, Inc,
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 20, 1999
- Medicare certification status
- Active
- Certified beds
- 240
National Provider Directory
National Provider DirectoryOwnership & 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 |
|---|---|---|---|
| Jack Basch | 5% Or Greater Direct Ownership Interest | May 21, 2007 | 25% |
| Chaim Klein | Corporate Officer | May 21, 2007 | 100% |
| Operational/Managerial Control | May 21, 2007 | ||
| Yossi Kraus | Corporate Officer | Jan 1, 2018 | |
| W-2 Managing Employee | Jan 1, 2018 | ||
| Tibor Klein | 5% Or Greater Direct Ownership Interest | May 21, 2007 | 75% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- General Practice Dentistry
- Brooklyn, NY
- NPI 1114001518
Corporate Officer, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Brooklyn, NY
- NPI 1114001518
-
- Internal Medicine Physician
- Jackson Heights, NY
- NPI 1689640914
-
- Internal Medicine Physician
- Fresh Meadows, NY
- NPI 1932292976
-
- Internal Medicine Physician
- South Richmond Hill, NY
- NPI 1467560656
-
- Internal Medicine Physician
- Elmhurst, NY
- NPI 1609882000
Affiliated clinicians 4
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": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376956800000",
"number": "1306918685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10017 23RD AVENUE",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "11369",
"telephone_number": "718-205-8100",
"fax_number": "718-507-7503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10017 23RD AVENUE",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "11369",
"telephone_number": "718-205-8100",
"fax_number": "718-507-7503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELMHURST CARE CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-14",
"last_updated": "2013-08-20",
"status": "A",
"authorized_official_last_name": "KRAUS",
"authorized_official_first_name": "YOSSI",
"authorized_official_title_or_position": "AST ADMINISTRATOR",
"authorized_official_telephone_number": "718-247-6141"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01945019",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.