Provider Demographics
NPI:1679214167
Name:OCEAN VIEW CARE AND REHABILITATION CENTER LLC
Entity Type:Organization
Organization Name:OCEAN VIEW CARE AND REHABILITATION CENTER LLC
Other - Org Name:BEACHSIDE CENTER FOR REHABILITATION AND NURSING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MO
Authorized Official - Middle Name:
Authorized Official - Last Name:KRIGSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-965-7914
Mailing Address - Street 1:2810 S ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:NEW SMYRNA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32169-3446
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2810 S ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:NEW SMYRNA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32169-3446
Practice Address - Country:US
Practice Address - Phone:386-428-6424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-06
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility