Organization Active NPI

Long Island Hebrew Living Center

  • Assisted Living Facility
  • Far Rockaway, NY
National Provider Identifier
1790982635
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
9452L001 Issued in NY
Legal business name
LONG ISLAND HEBREW LIVING CENTER
Practice address
431 Beach 20TH St
Far Rockaway, NY 11691-3621
Phone
(718) 327-2700
Fax
(718) 327-2223
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mr. Ami Shetrit
Title
Administrator
Phone
(718) 327-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 9452L001 NY Primary

Addresses

Primary practice location

431 Beach 20TH St
Far Rockaway, NY 11691-3621

Mailing address

431 Beach 20TH St
Far Rockaway, NY 11691-3621
Phone (718) 327-2700

Other identifiers 1

IdentifierTypeStateIssuer
01452359MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1790982635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913621",
            "telephone_number": "718-327-2700",
            "fax_number": "718-327-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913621",
            "telephone_number": "718-327-2700",
            "fax_number": "718-327-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND HEBREW LIVING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "SHETRIT",
        "authorized_official_first_name": "AMI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-327-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "9452L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01452359",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.