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Ltc Provider Management Corp
Skilled Nursing Facility in Port Washington, New York
NPI 1346694502

Ltc Provider Management Corp is a Skilled Nursing Facility based in Port Washington, NY. Ltc Provider Management Corp practices in Port Washington, NY. The NPI Number for Ltc Provider Management Corp is 1346694502 and holds a License No. 129224 (New York).

The current practice location address for Ltc Provider Management Corp is 30 Wood Rd, Port Washington, NY and can be reached out via phone at 516-652-7647 and via fax at 516-944-2385.

Location: 30 Wood Rd, Port Washington, NY, 11050-2625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346694502
Provider Name
Ltc Provider Management Corp
Credential
Provider Entity Type
Organization
Address
30 Wood Rd, Port Washington, NY, 11050-2625
Phone Number
516-652-7647
Fax Number
516-944-2385
Provider Enumeration Date
04/14/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45A201 01 NY PTAN
institution
Provider Business Practice Location Address Details
Address
30 Wood Rd
City
Port Washington
State
New York
Zip
11050-2625
Phone Number
516-652-7647
Fax Number
516-944-2385
person
Provider Business Mailing Address Details
Address
30 Wood Rd
City
Port Washington
State
New York
Zip
11050-2625
Phone Number
516-652-7647
Fax Number
516-944-2385
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
129224 (New York)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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