Flushing Manor Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

7003366N Issued in NY

Legal business name

FLUSHING MANOR CARE CENTER, INC.

Practice address

13966 35TH Ave
Flushing, NY 11354-3524

Phone

(718) 961-5300

Fax

(718) 961-8715

NPI assigned

Oct 14, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Arthur Boden, LNHA

Title

Administrator

Phone

(718) 961-5300

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Cypress Garden Center for Nursing and Re2 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.

• KPRH IV Operations LLC

  • Skilled Nursing Facility
  • Flushing, NY
  • NPI 1376931360
  NPD tax ID

Locations

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346239191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13966 35TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543524",
            "telephone_number": "718-961-5300",
            "fax_number": "718-961-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13966 35TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543524",
            "telephone_number": "718-961-5300",
            "fax_number": "718-961-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLUSHING MANOR CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BODEN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-961-5300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7003366N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00310590",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Flushing Hospital Medical Center
• Flushing Hospital Medical Center
• Flushing Hospital Medical Center
• Flushing Jewish Community Council, Inc.
• Flushing Mall Optical, Inc.
• Flushing Manor Dialysis Center, LLC
• Flushing Manor Geriatric Center Inc
• Flushing Manor Nursing and Rehab
• Flushing Medical
• Flushing Medical Services PLLC

• All providers in Flushing, NY
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.