Provider Demographics
NPI: | 1831316900 |
---|---|
Name: | CARNEY OPERATIONS LLC |
Entity Type: | Organization |
Organization Name: | CARNEY OPERATIONS LLC |
Other - Org Name: | CARNEY POINT CARE CENTER |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | BILLING MANAGER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | CHAVIE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | KATZ |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 718-567-0400 |
Mailing Address - Street 1: | 14C 53RD ST |
Mailing Address - Street 2: | |
Mailing Address - City: | BROOKLYN |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 11232-2644 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 201 5TH AVE |
Practice Address - Street 2: | |
Practice Address - City: | CARNEYS POINT |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 08069-1059 |
Practice Address - Country: | US |
Practice Address - Phone: | 718-567-0400 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-04-19 |
Last Update Date: | 2015-07-06 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 314000000X | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
315271 | Medicare Oscar/Certification |