Provider Demographics
NPI:1710968839
Name:BELAIR CARE CENTER, INC.
Entity Type:Organization
Organization Name:BELAIR CARE CENTER, INC.
Other - Org Name:BELAIR NURSING & REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:LETTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-826-1163
Mailing Address - Street 1:2478 JERUSALEM AVENUE
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-1827
Mailing Address - Country:US
Mailing Address - Phone:516-826-1160
Mailing Address - Fax:516-826-1163
Practice Address - Street 1:2478 JERUSALEM AVENUE
Practice Address - Street 2:
Practice Address - City:NORTH BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-1827
Practice Address - Country:US
Practice Address - Phone:516-826-1160
Practice Address - Fax:516-826-1163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-07
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2950301314000000X
NY2950301-N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01639261Medicaid
335140Medicare Oscar/Certification