Provider Demographics
NPI:1407849490
Name:NEW FRANKLIN REHABILIATION AND HEALTH CARE FACILITY, LLC
Entity Type:Organization
Organization Name:NEW FRANKLIN REHABILIATION AND HEALTH CARE FACILITY, LLC
Other - Org Name:FRANKLIN CENTER FOR REHABILITATION AND NURSING
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:AJ
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-670-3400
Mailing Address - Street 1:14227 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-2629
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14227 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2629
Practice Address - Country:US
Practice Address - Phone:718-670-3400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-25
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00309022Medicaid
NY554528OtherAETNA U.S. HEALTHCARE
NY176284OtherELDERPLAN
NYA401426OtherOXFORD
NY00309022Medicaid