Healthcare Provider Details

I. General information

NPI: 1750880894
Provider Name (Legal Business Name): COMMUNITY HEALTHCARE OPERATOR INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2018
Last Update Date: 08/25/2020
Certification Date: 08/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

277 HOFFMAN AVE
WINDBER PA
15963-2369
US

IV. Provider business mailing address

600 BROADWAY UNIT E
LYNBROOK NY
11563-3980
US

V. Phone/Fax

Practice location:
  • Phone: 814-467-5505
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: EPHRAM LAHASKY
Title or Position: VICE PRESIDENT
Credential:
Phone: 646-772-3668