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NPI Code Detail

MEDICARE: CROWNHILL NURSING & REHABILITATION CENTER, LLC

MEDICARE: CROWNHILL NURSING & REHABILITATION CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility128569TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235460874
Entity Type Code : Organization
Provider Name (Legal Business Name) : CROWNHILL NURSING & REHABILITATION CENTER, LLC
Provider Business Mailing Address
First Line : 805 AVENUE L
Second Line : SUITE 2
City : BROOKLYN
State : NY
Zip : 11230-5114
Country : US
Telephone Number : 718-535-3801
Fax Number : 718-535-1019
Provider Business Practice Location Address
First Line : 505 W CENTERVILLE RD
Second Line :
City : GARLAND
State : TX
Zip : 75041-5445
Country : US
Telephone Number : 972-278-3566
Fax Number : 972-278-3566
Authorized Official
Title or Position : MEMBER
Name : SIDNEY PINTER
Credential :
Telephone Number : 718-535-3801
Provider Enumeration Date : 01/21/2010
Last Update Date : 01/21/2010

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