KENNEDY PAVILION RH, LLC (NPI# 1871948299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871948299 |
| Entity Type | Organization |
| Organization Name | KENNEDY PAVILION RH, LLC |
| Other Organization Name | THE PAVILION AT QUEENS FOR REHABILITATION & NURSING |
| Practice Address |
3617 Parsons Blvd Flushing NY 11354-5931 |
| Practice Telephone | 7188885200 |
| Mailing Telephone | 7188885200 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2018-05-08 |
| Authorized Official Name | JOEL EDELSTEIN (MANAGING MEMBER) |
| Authorized Official Telephone | 7188885206 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities | ||
| Y | 314000000X | Skilled Nursing Facility | 7003417N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1791900 | 05 |
| Other Name | Type Code |
|---|---|
| The Pavilion at Queens for Rehabilitation & Nursing | Doing Business As Name - Organization |
| Street Address |
3617 PARSONS BLVD |
| City | FLUSHING |
| State | NY |
| Zip Code | 11354-5931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285792960 | Flushing Manor Geriatric Center Inc | Skilled Nursing Facility | 3617 Parsons Blvd, Flushing, NY 11354-5931 | 2006-12-05 |
| 1164054524 | Olaf Butchma Do PC | Internal Medicine | 3617 Parsons Blvd, Flushing, NY 11354-5931 | 2020-02-04 |
| 1801368543 | Marie Regine Bony Normil | Licensed Practical Nurse | 3617 Parsons Blvd, Flushing, NY 11354-5931 | 2018-12-19 |
| 1912452376 | Jonathan Wang | Physical Therapist | 3617 Parsons Blvd, Flushing, NY 11354-5931 | 2016-08-15 |
| 1568867562 | Kennedy Pavilion Rh I, LLC | Skilled Nursing Facility | 3617 Parsons Blvd, Flushing, NY 11354-5931 | 2014-11-03 |
| 1285843904 | Flushing Manor Dialysis Center, LLC | Clinic/Center | 3617 Parsons Blvd, Flushing, NY 11354-5931 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388157 | Laeana Rodriguez | Speech-Language Pathologist | 30-04 146th St, Flushing, NY 11354 | 2020-08-25 |
| 1508402413 | United Community Anesthesia Care Pllc | Anesthesiology | 3636 Maint St, 1s, Flushing, NY 11354 | 2019-11-26 |
| 1922658087 | Xiaoyan Fei | Social Worker | Charles B. Wang Community Health Center 136-26 37th Ave, Flushing, NY 11354 | 2019-09-19 |
| 1235797655 | Life Improvement Homecare, Inc. | Durable Medical Equipment & Medical Supplies | 38-08 Union Street, Suite 2j, Flushing, NY 11354 | 2019-05-31 |
| 1497214985 | Justin Young Lee | Registered Nurse | 143-23 38th Ave, Apt 2c, Flushing, NY 11354 | 2019-03-14 |
| 1669930962 | Jacqueline Nicole Liu | Student in an Organized Health Care Education/Training Program | 29-30 138th Street, Apartment 3f, Flushing, NY 11354 | 2019-03-05 |
| 1275003378 | Janet Poon | Pharmacist | 35-19 Leavitt St., #51, Flushing, NY 11354 | 2018-11-30 |
| 1659856490 | Xiaohui Wang Medical Pllc | Obstetrics & Gynecology | 135 16 Roosevelt Avenue, 3rd Floor, Flushing, NY 11354 | 2018-09-27 |
| 1063990687 | Harmony Care Physical Therapy PC | Clinic/Center | 35-05 Farrington Street, Ste A, Flushing, NY 11354 | 2018-08-06 |
| 1356827604 | Theresa S Cheung | Nurse Practitioner | 39-07 Prince St, Ste 3h, Flushing, NY 11354 | 2018-07-18 |
| Find all providers in zip 11354 | ||||
| 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 |
|---|---|---|---|---|
| 1598114456 | Premium Care | Skilled Nursing Facility | 13606 76th Rd, Flushing, NY 11367-2822 | 2016-06-10 |
| 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 |
| 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.