Provider Demographics
NPI:1639177272
Name:FOREST HILLS CARE CENTER
Entity Type:Organization
Organization Name:FOREST HILLS CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:
Authorized Official - Last Name:EINHORN
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:718-544-4300
Mailing Address - Street 1:7144 YELLOWSTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4114
Mailing Address - Country:US
Mailing Address - Phone:718-544-4300
Mailing Address - Fax:718-793-6181
Practice Address - Street 1:7144 YELLOWSTONE BLVD
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4114
Practice Address - Country:US
Practice Address - Phone:718-544-4300
Practice Address - Fax:718-793-6181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-08
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7003394N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00308549Medicaid
NY00308549Medicaid
NY5288670001Medicare NSC