Provider Demographics
NPI:1336486745
Name:CATON PARK REHABILITATION AND NURSING
Entity Type:Organization
Organization Name:CATON PARK REHABILITATION AND NURSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSIST. ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ABRAHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBINFELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-693-7000
Mailing Address - Street 1:1312 CATON AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-1002
Mailing Address - Country:US
Mailing Address - Phone:718-693-7000
Mailing Address - Fax:718-284-2497
Practice Address - Street 1:1312 CATON AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-1002
Practice Address - Country:US
Practice Address - Phone:718-693-7000
Practice Address - Fax:718-284-2497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7001366N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00310614Medicaid
NY335245Medicare Oscar/Certification