Provider Demographics
NPI:1689277170
Name:WEST POINT SNF OPERATIONS LLC
Entity Type:Organization
Organization Name:WEST POINT SNF OPERATIONS LLC
Other - Org Name:NONE
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHIMON
Authorized Official - Middle Name:
Authorized Official - Last Name:IDELS
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:516-855-5504
Mailing Address - Street 1:1195 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-2316
Mailing Address - Country:US
Mailing Address - Phone:516-855-5504
Mailing Address - Fax:
Practice Address - Street 1:2960 CHELSEA RD
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:VA
Practice Address - Zip Code:23181-9793
Practice Address - Country:US
Practice Address - Phone:804-843-4323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-18
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility