Healthcare Provider Details

I. General information

NPI: 1003497355
Provider Name (Legal Business Name): SKYVIEW SPRINGS SNF OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2021
Last Update Date: 07/06/2021
Certification Date: 07/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 MONTVUE DR
LURAY VA
22835-1057
US

IV. Provider business mailing address

1007 BROADWAY FL 2
WOODMERE NY
11598-1246
US

V. Phone/Fax

Practice location:
  • Phone: 540-743-4573
  • Fax:
Mailing address:
  • Phone: 516-855-5504
  • 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: JOSEPH LIEBERMAN
Title or Position: DIRECTOR OF FINANCIAL OPERATIONS
Credential:
Phone: 646-275-4510