Healthcare Provider Details

I. General information

NPI: 1720249493
Provider Name (Legal Business Name): ROCKAWAY CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2008
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 BEACH 48TH ST
FAR ROCKAWAY NY
11691-1120
US

IV. Provider business mailing address

353 BEACH 48TH ST
FAR ROCKAWAY NY
11691-1120
US

V. Phone/Fax

Practice location:
  • Phone: 718-471-5000
  • Fax: 718-471-1305
Mailing address:
  • Phone: 718-471-5000
  • Fax: 718-471-1305

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: MR. MICHAEL MELNICKE
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 718-471-5000