Provider Demographics
NPI:1598147530
Name:FEDERATION CCRC OPERATIONS CORP.
Entity Type:Organization
Organization Name:FEDERATION CCRC OPERATIONS CORP.
Other - Org Name:HEALTH CENTER AT SINAI RESIDENCES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-852-3140
Mailing Address - Street 1:21044 95TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-1500
Mailing Address - Country:US
Mailing Address - Phone:561-338-9595
Mailing Address - Fax:
Practice Address - Street 1:21044 95TH AVE S
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-1500
Practice Address - Country:US
Practice Address - Phone:561-609-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-26
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPENDINGOtherAGENCY FOR HEALTH CARE ADMINISTRATION
FL106111Medicare Oscar/Certification