Healthcare Provider Details

I. General information

NPI: 1386787216
Provider Name (Legal Business Name): NEW FRANKLIN REHABILIATION AND HEALTH CARE FACILITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 07/11/2024
Certification Date: 07/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4515 162ND ST
FLUSHING NY
11358-3157
US

IV. Provider business mailing address

4515 162ND ST
FLUSHING NY
11358-3157
US

V. Phone/Fax

Practice location:
  • Phone: 718-670-6310
  • Fax: 718-670-6311
Mailing address:
  • Phone: 718-670-6310
  • Fax: 718-670-6311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number7003402M
License Number StateNY

VIII. Authorized Official

Name: TULI FASTEN
Title or Position: CONTROLLER
Credential:
Phone: 718-670-6300