HOLLIS PARK MANOR NURSING HOME, INC.
NPI 1295734812
Skilled Nursing Facility in Hollis, NY

Active since July 15, 2005CLIA 33D0904216 · Waiver
5/5
Overall Rating
19106 HILLSIDE AVE, HOLLIS, NY 11423(718) 479-1010(718) 464-8245 Get Directions Write a Review

NPPES record last updated: June 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hollis Park Manor Nursing Home, Inc. NPPES

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

HOLLIS PARK MANOR NURSING HOME, INC. (NPI 1295734812) is a healthcare organization registered as a skilled nursing facility in Hollis, New York and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jonathan Gewirtz, Manager, Fiscal Oversight, as its authorized official.

NPPES Registry Identity

NPI1295734812
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHOLLIS PARK MANOR NURSING HOME, INC.
Location Address19106 HILLSIDE AVEHollis, NY 11423-1942
Mailing Address19106 Hillside AveHollis, NY 11423-1942 · (718) 479-1010 · Fax (718) 464-8245
Fax(718) 464-8245
Organization SubpartNo
Authorized OfficialJonathan GewirtzManager, Fiscal Oversight · (914) 588-8379
Enumeration DateJuly 15, 2005
Last NPPES UpdateJune 29, 2015
NPI 1295734812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
19106 HILLSIDE AVE, Hollis, NY 11423

Other Identifiers 3

Medicare OSCAR/certification335333NY
Medicare UPIN335333NY
Medicaid00310054NY

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 33D0904216

Hollis Park Manor Nursing Home Inc · Hollis, NY
Active · expires Mar 26, 2027
CLIA Number33D0904216
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 11, 1995
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Kamyar David Tavakoli
Laboratory Phone(718) 479-1010
Laboratory LocationHollis Park Manor Nursing Home Inc191-06 Hillside Avenue, Hollis, NY 11423
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Hollis Park Manor Nursing Home (CMS certification number 335333), from CMS Care Compare.

Hollis Park Manor Nursing Home

Nursing home · Hollis, NY
5/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number335333
Certified Beds80 beds75 residents per day on average
Medicare & Medicaid Participant SinceSeptember 14, 1971
Resident & Family CouncilResident and family councils
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
17.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.31 · LPN 0.36 · RN 1.27
3.94 hrs per resident per day
Weekend Nurse Staffing
3.47 hrs per resident per day
Physical Therapist Staffing
0.07 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
17.1%
Registered Nurse Turnover
28.6%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Hollis Park Manor Nursing Home, Inc.'s NPI number?

The NPI number for Hollis Park Manor Nursing Home, Inc. is 1295734812. It was assigned to this organization in the NPPES registry on July 15, 2005.

Where is Hollis Park Manor Nursing Home, Inc. located?

Hollis Park Manor Nursing Home, Inc. is located at 19106 Hillside Ave, Hollis, NY 11423. The listed phone number is (718) 479-1010.

What is Hollis Park Manor Nursing Home, Inc.'s specialty?

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

Does Hollis Park Manor Nursing Home, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0904216) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Hollis Park Manor Nursing Home, Inc. a Medicare-certified nursing home?

Yes. Hollis Park Manor Nursing Home is a Medicare-certified nursing home with 80 certified beds.

What quality rating does Hollis Park Manor Nursing Home, Inc. have?

CMS rates Hollis Park Manor Nursing Home 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Hollis Park Manor Nursing Home, Inc. was last updated on June 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.