Healthcare Provider Details

I. General information

NPI: 1306875141
Provider Name (Legal Business Name): TOWNHOUSE OPERATING COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 05/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 HEMPSTEAD TPKE
UNIONDALE NY
11553-1111
US

IV. Provider business mailing address

755 HEMPSTEAD TPKE
UNIONDALE NY
11553-1111
US

V. Phone/Fax

Practice location:
  • Phone: 516-565-1900
  • Fax: 516-565-5816
Mailing address:
  • Phone: 516-565-1900
  • Fax: 516-565-5816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number2950318N
License Number StateNY

VIII. Authorized Official

Name: BEN PHILIPSON
Title or Position: COO
Credential:
Phone: 516-869-3700