Provider Demographics
NPI:1114910676
Name:HOWD LTC MANAGEMENT
Entity Type:Organization
Organization Name:HOWD LTC MANAGEMENT
Other - Org Name:NORTHWOODS REHAB & HEALTH CARE FACILITY AT MORAVIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:M
Authorized Official - Last Name:NACHAMKIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:518-382-2427
Mailing Address - Street 1:7 KEELER AVE
Mailing Address - Street 2:
Mailing Address - City:MORAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:12309
Mailing Address - Country:US
Mailing Address - Phone:315-497-0440
Mailing Address - Fax:315-497-0494
Practice Address - Street 1:7 KEELER AVE
Practice Address - Street 2:
Practice Address - City:MORAVIA
Practice Address - State:NY
Practice Address - Zip Code:13118-3688
Practice Address - Country:US
Practice Address - Phone:315-497-0440
Practice Address - Fax:315-497-0494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-30
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0096314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00931631Medicaid
NY00931631Medicaid