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Queens Boulevard Extended Care Facility
Nursing Facility/Intermediate Care Facility in Woodside, New York
NPI 1548253313

Queens Boulevard Extended Care Facility is a Nursing Facility/Intermediate Care Facility based in Woodside, NY. Queens Boulevard Extended Care Facility practices in Woodside, NY. The NPI Number for Queens Boulevard Extended Care Facility is 1548253313 and holds a License No. 7003390N (New York).

The current practice location address for Queens Boulevard Extended Care Facility is 6111 Queens Blvd, Woodside, NY and can be reached out via phone at 718-205-0287 and via fax at 718-205-1342.

Location: 6111 Queens Blvd, Woodside, NY, 11377-4965
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548253313
Provider Name
Queens Boulevard Extended Care Facility
Credential
Provider Entity Type
Organization
Address
6111 Queens Blvd, Woodside, NY, 11377-4965
Phone Number
718-205-0287
Fax Number
718-205-1342
Provider Enumeration Date
08/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01626686 05 NY
01710672 05 NY
7003390N 05 NY
institution
Provider Business Practice Location Address Details
Address
6111 Queens Blvd
City
Woodside
State
New York
Zip
11377-4965
Phone Number
718-205-0287
Fax Number
718-205-1342
person
Provider Business Mailing Address Details
Address
6111 Queens Blvd
City
Woodside
State
New York
Zip
11377-4965
Phone Number
718-205-0287
Fax Number
718-205-1342
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
7003390N (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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