Cliffside Nursing Home Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

7003380N Issued in NY

Legal business name

CLIFFSIDE NURSING HOME INC

Doing business as

Cliffside Rehabilitation & Residential Health Care Center

Practice address

11919 Graham CT
Flushing, NY 11354-1047

Phone

(718) 886-0700

NPI assigned

May 11, 2015

Organization subpart

No

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

Authorized official

Name

Shmuel Freedman

Title

Administrator

Phone

(718) 886-0700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cliffside Rehabilitation & Residential Health Care Center Doing business as

Tax ID family

Cliffside Nursing Home Inc2 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.

• Cliffside Nursing Home Inc

  • Skilled Nursing Facility
  • Flushing, NY
  • NPI 1699978452
  NPD tax ID

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1366820342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11919 GRAHAM CT",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541047",
            "telephone_number": "718-886-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11919 GRAHAM CT",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541047",
            "telephone_number": "718-886-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFSIDE NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "SHMUEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-886-0700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7003380N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "309504",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cliffside Rehabilitation & Residential Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Clem
• Krista Clerge, WHNP
• Marie Clerine
• Clifford Blumstein MD PC
• Clifford Trading LLC
• Cliffside Nursing Home Inc
• Clinix Pharmacy Inc
• Clny Health Inc.
• Cloud Chiropractic P.C.
• Jana Camille Hitgano Clough, DO

• Skilled Nursing Facility in Flushing, NY
• Providers in Flushing, 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 Jun 2, 2015; 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.