Healthcare Provider Details

I. General information

NPI: 1265519664
Provider Name (Legal Business Name): LEMBERG HOME & GERIATRIC INSTITUTE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8629 BAY PKWY
BROOKLYN NY
11214-4101
US

IV. Provider business mailing address

8629 BAY PKWY
BROOKLYN NY
11214-4101
US

V. Phone/Fax

Practice location:
  • Phone: 718-266-0900
  • Fax: 718-714-0482
Mailing address:
  • Phone: 718-266-0900
  • Fax: 718-714-0482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number7001312N
License Number StateNY

VIII. Authorized Official

Name: MR. NEVILLE RICHARDS
Title or Position: ADMINISTRATOR
Credential:
Phone: 718-266-0900