VICTORY LAKE OPERATIONS, LLC
NPI 1174510259
Skilled Nursing Facility in Baldwin, NY

Active since October 04, 2005
958 CHURCH ST, BALDWIN, NY 11510(516) 409-0700(516) 809-0161 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Victory Lake Operations, Llc NPPES

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

VICTORY LAKE OPERATIONS, LLC (NPI 1174510259) is a healthcare organization registered as a skilled nursing facility in Baldwin, New York and active in the NPI registry since October 2005. The organization lists Gerald J Wood, Member, as its authorized official.

NPPES Registry Identity

NPI1174510259
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameVICTORY LAKE OPERATIONS, LLC
Location Address958 CHURCH STBaldwin, NY 11510-4257
Mailing Address958 Church StBaldwin, NY 11510-4257 · (516) 409-0700 · Fax (516) 809-0161
Fax(516) 809-0161
Organization SubpartNo
Authorized OfficialGerald J WoodMember · (845) 229-9177
Enumeration DateOctober 4, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1174510259 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 · 00308961
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.
958 CHURCH ST, Baldwin, NY 11510

Other Identifiers 1

Medicaid00308961NY

Other Providers at the Same Location NPPES

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

Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
958 CHURCH ST, 2ND FLOOR
BALDWIN, NY 11510

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 Victory Lake Operations, LLC's NPI number?

The NPI number for Victory Lake Operations, LLC is 1174510259. It was assigned to this organization in the NPPES registry on October 4, 2005.

Where is Victory Lake Operations, LLC located?

Victory Lake Operations, LLC is located at 958 Church St, Baldwin, NY 11510. The listed phone number is (516) 409-0700.

What is Victory Lake Operations, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Victory Lake Operations, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.