FOUR SEASONS NURSING & REHAB CENTER
NPI 1104059856
Skilled Nursing Facility in Brooklyn, NY

Active since August 28, 2009CLIA 33D0961989 · Waiver
1555 ROCKAWAY PKWY, BROOKLYN, NY 11236(718) 927-6300(718) 272-2166 Get Directions Write a Review

NPPES record last updated: August 28, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Four Seasons Nursing & Rehab Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOUR SEASONS NURSING & REHAB CENTER (NPI 1104059856) is a healthcare organization registered as a skilled nursing facility in Brooklyn, New York and active in the NPI registry since August 2009. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Barry Friedman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104059856
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePARKSHORE HEALTH CARE LLC
Location Address1555 ROCKAWAY PKWYBrooklyn, NY 11236-4001
Mailing Address1555 Rockaway PkwyBrooklyn, NY 11236-4001 · (718) 927-6300 · Fax (718) 272-2166
Fax(718) 272-2166
Organization SubpartNo
Authorized OfficialBarry FriedmanCeo · (718) 927-6300
Enumeration DateAugust 28, 2009
NPI 1104059856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in NY · 7001385N
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1555 ROCKAWAY PKWY, Brooklyn, NY 11236

Other Names 1

Doing Business AsFour Seasons Nursing & Rehab Center

Other Identifiers 2

Medicaid00843485NY
Medicare OSCAR/certification335673NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0961989

Four Seasons Nursing & Rehabilitation Center · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D0961989
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 22, 1999
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Elie Fteha
Laboratory Phone(718) 927-6300
Laboratory LocationFour Seasons Nursing & Rehabilitation Center1555 Rockaway Parkway, Brooklyn, NY 11236
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
1555 ROCKAWAY PKWY
BROOKLYN, NY 11236
Internal Medicine
1555 ROCKAWAY PKWY
BROOKLYN, NY 11236
Pain Medicine (Interventional Pain Medicine)
1555 ROCKAWAY PKWY
BROOKLYN, NY 11236
Physical Therapist
1555 ROCKAWAY PKWY
BROOKLYN, NY 11236
Clinic/Center (Adult Day Care)
1555 ROCKAWAY PKWY
BROOKLYN, NY 11236
Skilled Nursing Facility
1555 ROCKAWAY PKWY
BROOKLYN, NY 11236

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Parkshore Health Care LLC's NPI number?

The NPI number for Parkshore Health Care LLC is 1104059856. It was assigned to this organization in the NPPES registry on August 28, 2009. The provider is doing business as Four Seasons Nursing & Rehab Center.

Where is Parkshore Health Care LLC located?

Parkshore Health Care LLC is located at 1555 Rockaway Pkwy, Brooklyn, NY 11236. The listed phone number is (718) 927-6300.

What is Parkshore Health Care LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Parkshore Health Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0961989) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Parkshore Health Care LLC was last updated on August 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.