Healthcare Provider Details

I. General information

NPI: 1619856234
Provider Name (Legal Business Name): MINOT REHABILITATION AND CARE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 MAIN ST S
MINOT ND
58701-4499
US

IV. Provider business mailing address

605 JARVIS AVE
FAR ROCKAWAY NY
11691-5425
US

V. Phone/Fax

Practice location:
  • Phone: 701-852-1255
  • Fax:
Mailing address:
  • Phone: 516-784-7709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ALAN MARKOWITZ
Title or Position: PRESIDENT
Credential:
Phone: 516-784-7709