Provider Demographics
NPI:1164928305
Name:BIRCHWOOD OPERATIONS LLC
Entity Type:Organization
Organization Name:BIRCHWOOD OPERATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ERLICHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-547-7279
Mailing Address - Street 1:101 LAWRENCE AVE
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-1440
Mailing Address - Country:US
Mailing Address - Phone:347-547-7279
Mailing Address - Fax:
Practice Address - Street 1:43 STARR FARM RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05408-1321
Practice Address - Country:US
Practice Address - Phone:802-863-6384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-05
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility