Provider Demographics
NPI:1972594182
Name:PARCC HEALTHCARE INC
Entity Type:Organization
Organization Name:PARCC HEALTHCARE INC
Other - Org Name:ASTORIA PARK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:FRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-466-0701
Mailing Address - Street 1:38 TALMADGE AVENUE
Mailing Address - Street 2:C/O PARAGON GROUP INC 2ND FLOOR
Mailing Address - City:EAST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06512
Mailing Address - Country:US
Mailing Address - Phone:203-466-0701
Mailing Address - Fax:203-468-0280
Practice Address - Street 1:725 PARK AVENUE
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06604
Practice Address - Country:US
Practice Address - Phone:203-366-3653
Practice Address - Fax:203-333-6974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
075104Medicare ID - Type Unspecified