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NPI Code Detail

MEDICARE: PALMS NH MANAGEMENT LLC

MEDICARE: PALMS NH MANAGEMENT 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
1385H00000XRespite Care
2314000000XSkilled 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 : 1558020842
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALMS NH MANAGEMENT LLC
Provider Business Mailing Address
First Line : 980 SYLVAN AVE
Second Line :
City : ENGLEWOOD CLIFFS
State : NJ
Zip : 07632-3301
Country : US
Telephone Number : 305-956-5188
Fax Number :
Provider Business Practice Location Address
First Line : 14601 NE 16TH AVE
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-2614
Country : US
Telephone Number : 305-701-9699
Fax Number :
Authorized Official
Title or Position : COO
Name : BATYA GORELICK
Credential :
Telephone Number : 305-701-9699
Provider Enumeration Date : 12/14/2021
Last Update Date : 02/16/2023

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Directions to “PALMS NH MANAGEMENT LLC ” Practice Location

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