Provider Demographics
NPI:1023184173
Name:ERNH CORPORATION INC
Entity Type:Organization
Organization Name:ERNH CORPORATION INC
Other - Org Name:EAST ROCKAWAY PROGRESSIVE CARE FACILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF BILLING
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:POLIMENI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-671-4100
Mailing Address - Street 1:243 ATLANTIC AVENUE
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563
Mailing Address - Country:US
Mailing Address - Phone:516-599-2744
Mailing Address - Fax:516-299-0339
Practice Address - Street 1:243 ATLANTIC AVENUE
Practice Address - Street 2:
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563
Practice Address - Country:US
Practice Address - Phone:516-599-2744
Practice Address - Fax:516-299-0339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2911302N314000000X
NY314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00312969Medicaid
NY00312969Medicaid