Healthcare Provider Details

I. General information

NPI: 1386395622
Provider Name (Legal Business Name): GARDNER HEALTH AND REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2022
Last Update Date: 01/17/2023
Certification Date: 01/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 BEDFORD ST
GARDNER KS
66030-1185
US

IV. Provider business mailing address

2420 KNAPP ST
BROOKLYN NY
11235-1006
US

V. Phone/Fax

Practice location:
  • Phone: 913-856-6520
  • Fax:
Mailing address:
  • Phone: 718-942-3483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ZISHA MARGULIES
Title or Position: CEO
Credential:
Phone: 718-942-3483