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NPI Code Detail

MEDICARE: FOREST MANOR CARE CENTER INC

MEDICARE: FOREST MANOR CARE CENTER INC
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 Facility

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 : 1366438418
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOREST MANOR CARE CENTER INC
Provider Business Mailing Address
First Line : 6 MEDICAL PLZ
Second Line :
City : GLEN COVE
State : NY
Zip : 11542-2108
Country : US
Telephone Number : 516-671-9010
Fax Number :
Provider Business Practice Location Address
First Line : 6 MEDICAL PLZ
Second Line :
City : GLEN COVE
State : NY
Zip : 11542-2108
Country : US
Telephone Number : 516-671-9010
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF BILLING
Name : LISA POLIMENI
Credential :
Telephone Number : 516-671-4100
Provider Enumeration Date : 09/23/2005
Last Update Date : 06/03/2026

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Directions to “FOREST MANOR CARE CENTER INC ” Practice Location

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