Provider Demographics
NPI:1750799896
Name:GREENSPRINGS HEALTHCARE AND REHABILITATION CENTER LLC
Entity type:Organization
Organization Name:GREENSPRINGS HEALTHCARE AND REHABILITATION CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BLUMENKRANTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-312-7207
Mailing Address - Street 1:368 NEW HEMPSTEAD RD STE 309
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-1900
Mailing Address - Country:US
Mailing Address - Phone:845-746-5082
Mailing Address - Fax:845-230-8711
Practice Address - Street 1:51 APPLEGATE LN
Practice Address - Street 2:
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06118-1201
Practice Address - Country:US
Practice Address - Phone:860-568-7520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-31
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT075206Medicare Oscar/Certification