PREMIUM CARE (NPI# 1598114456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598114456 |
| Entity Type | Organization |
| Organization Name | PREMIUM CARE |
| Practice Address |
13606 76th Rd Flushing NY 11367-2822 |
| Mailing Address |
136-06 76th Road Flushing NY 11367 |
| Practice Telephone | 7185706018 |
| Mailing Telephone | 7185706018 |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |
| Authorized Official Name | MR. DANIEL MANDELBAUM (CEP) |
| Authorized Official Telephone | 7185706018 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PREMIUM CARE ADVISORS LLC | 2614 140th St Sw, Lynnwood, WA 98087-1218 |
| New York State Corporations | PREMIUM CARE LLC | 56 E 131 St, Apt 5b, New York, Ny 10037 |
| New York State Corporations | PREMIUM CARE MANAGEMENT LLC | 6279 Ny 42, Ste 15, Woodbourne, Ny 12788 |
| New York State Corporations | PREMIUM CARE SERVICES, LLC | 1266 59 Street, Brooklyn, New York 11219 |
| Street Address |
13606 76TH RD |
| City | FLUSHING |
| State | NY |
| Zip Code | 11367-2822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821638008 | Scarlett Sea | Speech-Language Pathologist | 31-36 88th St, Jackson Heights, NY 11367 | 2020-01-15 |
| 1528612090 | Leora A Shimunov | Specialist | 147-32 70th Ave, Flushing, NY 11367 | 2019-08-01 |
| 1922651918 | Triborough Medical Pllc | Anesthesiology | 150-31 Union Tpke, Office of Daniel Khaimov, Md, Flushing, NY 11367 | 2019-07-19 |
| 1700343993 | Steven Bernard Markowitz | Preventive Medicine | Queens College - 65-30 Kissena Blvd, Commoner Center- Remsen 311, Queens, NY 11367 | 2019-02-25 |
| 1336617406 | Amira Awadallah | Pharmacist | 15315 79 Ave, Flushing, NY 11367 | 2018-11-07 |
| 1336624097 | Diana Yocheved Shalev | Pharmacist | 14905 79th Ave Apt 511, Flushing, NY 11367 | 2018-09-28 |
| 1417447731 | Yashuo Fazilova | Registered Nurse | 144-60 Gravett Road, Apt. 2c, Flushing, NY 11367 | 2018-05-11 |
| 1467951947 | Edward Pineles, M.d., P.C. | Internal Medicine | 69-20 Main Street, Flushing, NY 11367 | 2018-02-09 |
| 1164920500 | L & M Caring Services Inc | Occupational Therapist | 144-29 Melbourne Ave, Flushing, NY 11367 | 2018-01-31 |
| 1720597610 | Christine Simmons | Licensed Practical Nurse | 67-39 Kissena Blvd #1a, Flushing, NY 11367 | 2017-09-24 |
| Find all providers in zip 11367 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487917712 | Sprain Brook Manor Rehab LLC | Skilled Nursing Facility | 77 Jackson Avenue, Flushing, NY 10583 | 2012-06-21 |
| 1508069360 | Woodcrest Rehabilitation and Residential Health Care Center LLC | Skilled Nursing Facility | 119-09 26th Ave, Flushing, NY 11354 | 2007-06-08 |
| 1699978452 | Cliffside Nursing Home Inc | Skilled Nursing Facility | 119-19 Graham Ct, Flushing, NY 11354 | 2007-06-08 |
| 1386787216 | Franklin Adult Day Health Care Program | Skilled Nursing Facility | 4515 162nd St, Flushing, NY 11358-3157 | 2007-02-14 |
| 1003955089 | Franklin Center for Rehabilitation and Nursing, Adult Day Health Care | Skilled Nursing Facility | 4227 Union St, Flushing, NY 11355-2542 | 2007-02-06 |
| 1285792960 | Flushing Manor Geriatric Center Inc | Skilled Nursing Facility | 3617 Parsons Blvd, Flushing, NY 11354-5931 | 2006-12-05 |
| 1811072929 | Waterview Nursing Care Center, Inc. | Skilled Nursing Facility | 11915 27th Ave, Flushing, NY 11354-1011 | 2006-10-26 |
| 1235174541 | Meadow Park Rehabilitation & Health Care Center LLC | Skilled Nursing Facility | 7810 164th St, Flushing, NY 11366-1229 | 2006-06-19 |
| 1114966983 | Heartland-fostrian of Flushing Mi LLC | Skilled Nursing Facility | 540 Sunnyside Dr, Flushing, MI 48433-1474 | 2006-06-06 |
| 1780661785 | Long Island Care Center Inc | Skilled Nursing Facility | 14461 38th Ave, Flushing, NY 11354-5935 | 2005-12-30 |
| Find all providers in FLUSHING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.