Provider Demographics
NPI:1518155787
Name:ALI/NORTH LYNBROOK SENIOR HOUSING, L.L.
Entity Type:Organization
Organization Name:ALI/NORTH LYNBROOK SENIOR HOUSING, L.L.
Other - Org Name:SUNRISE OF NORTH LYNBROOK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:C
Authorized Official - Last Name:DEFILIPPI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-596-2377
Mailing Address - Street 1:53 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-1237
Mailing Address - Country:US
Mailing Address - Phone:516-596-2377
Mailing Address - Fax:516-596-2378
Practice Address - Street 1:53 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-1237
Practice Address - Country:US
Practice Address - Phone:516-596-2377
Practice Address - Fax:516-596-2378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility