Provider Demographics
NPI:1548729619
Name:FOREST CITY CARE CONTINUUM LLC
Entity type:Organization
Organization Name:FOREST CITY CARE CONTINUUM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:AKIVA
Authorized Official - Middle Name:
Authorized Official - Last Name:GLATZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-879-3030
Mailing Address - Street 1:99 W HAWTHORNE AVE STE 508
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-6101
Mailing Address - Country:US
Mailing Address - Phone:718-879-3030
Mailing Address - Fax:
Practice Address - Street 1:915 DELAWARE ST
Practice Address - Street 2:
Practice Address - City:FOREST CITY
Practice Address - State:PA
Practice Address - Zip Code:18421-1005
Practice Address - Country:US
Practice Address - Phone:570-785-3005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-18
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility