Healthcare Provider Details

I. General information

NPI: 1437222163
Provider Name (Legal Business Name): NASSAU OPERATING COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 04/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GREENWICH ST
HEMPSTEAD NY
11550-5624
US

IV. Provider business mailing address

1 GREENWICH ST
HEMPSTEAD NY
11550-5624
US

V. Phone/Fax

Practice location:
  • Phone: 516-565-4800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number2906305N
License Number StateNY

VIII. Authorized Official

Name: BENT PHILIPSON
Title or Position: OWNER
Credential:
Phone: 516-869-3700