Healthcare Provider Details

I. General information

NPI: 1669417978
Provider Name (Legal Business Name): MAYFAIR CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BALDWIN RD
HEMPSTEAD NY
11550-6844
US

IV. Provider business mailing address

100 BALDWIN RD
HEMPSTEAD NY
11550-6844
US

V. Phone/Fax

Practice location:
  • Phone: 516-538-7171
  • Fax: 718-461-9484
Mailing address:
  • Phone: 516-538-7171
  • Fax: 718-461-9484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number2906302N
License Number StateNY

VIII. Authorized Official

Name: MR. MOSHE KALTER
Title or Position: PRESIDENT
Credential:
Phone: 718-961-1212