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Monsignor Fitzpatrick Sn Pavilion
Nursing Facility/Intermediate Care Facility in Jamaica, New York
NPI 1487868162

Monsignor Fitzpatrick Sn Pavilion is a Nursing Facility/Intermediate Care Facility based in Jamaica, NY. Monsignor Fitzpatrick Sn Pavilion practices in Jamaica, NY. The NPI Number for Monsignor Fitzpatrick Sn Pavilion is 1487868162 and holds a License No. 009683 (New York).

The current practice location address for Monsignor Fitzpatrick Sn Pavilion is 15211 89Th Ave, Jamaica, NY and can be reached out via phone at 718-558-9696 and via fax at 718-558-2476.

Location: 15211 89Th Ave, Jamaica, NY, 11432-3730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487868162
Provider Name
Monsignor Fitzpatrick Sn Pavilion
Credential
Provider Entity Type
Organization
Address
15211 89Th Ave, Jamaica, NY, 11432-3730
Phone Number
718-558-9696
Fax Number
718-558-2476
Provider Enumeration Date
05/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
335689 01 NY HIP
009683 01 NY BLUE CROSS BLUE SHIELD
01044260 05 NY
169835 01 NY ELDER PLANE
institution
Provider Business Practice Location Address Details
Address
15211 89Th Ave
City
Jamaica
State
New York
Zip
11432-3730
Phone Number
718-558-9696
Fax Number
718-558-2476
person
Provider Business Mailing Address Details
Address
15211 89Th Ave
City
Jamaica
State
New York
Zip
11432-3730
Phone Number
718-558-9696
Fax Number
718-558-2476
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
009683 (New York)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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