Provider Demographics
NPI:1164419883
Name:OZONE ACQUISITION,LLC
Entity Type:Organization
Organization Name:OZONE ACQUISITION,LLC
Other - Org Name:CENTRAL ISLAND HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DVORA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSTREICHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-433-0600
Mailing Address - Street 1:825 OLD COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-4913
Mailing Address - Country:US
Mailing Address - Phone:516-433-0600
Mailing Address - Fax:516-433-5512
Practice Address - Street 1:825 OLD COUNTRY RD
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-4913
Practice Address - Country:US
Practice Address - Phone:516-433-0600
Practice Address - Fax:516-433-5512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-29
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2952308N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00312996Medicaid
NY00312996Medicaid
NY335284Medicare ID - Type Unspecified