Provider Demographics
NPI:1265519664
Name:LEMBERG HOME & GERIATRIC INSTITUTE INC.
Entity type:Organization
Organization Name:LEMBERG HOME & GERIATRIC INSTITUTE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NEVILLE
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-266-0900
Mailing Address - Street 1:8629 BAY PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-4101
Mailing Address - Country:US
Mailing Address - Phone:718-266-0900
Mailing Address - Fax:718-714-0482
Practice Address - Street 1:8629 BAY PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4101
Practice Address - Country:US
Practice Address - Phone:718-266-0900
Practice Address - Fax:718-714-0482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7001312N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00312405Medicaid
NY335536Medicare ID - Type Unspecified