LTC PROVIDER MANAGEMENT CORP
NPI 1346694502
Skilled Nursing Facility in Port Washington, NY

Active since April 14, 2016
30 WOOD RD, PORT WASHINGTON, NY 11050(516) 652-7647(516) 944-2385 Get Directions Write a Review

NPPES record last updated: March 27, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ltc Provider Management Corp NPPES

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

LTC PROVIDER MANAGEMENT CORP (NPI 1346694502) is a healthcare organization registered as a skilled nursing facility in Port Washington, New York and active in the NPI registry since April 2016. The organization lists Myles Edward Gombert, President, as its authorized official.

NPPES Registry Identity

NPI1346694502
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLTC PROVIDER MANAGEMENT CORP
Location Address30 WOOD RDPort Washington, NY 11050-2625
Mailing Address30 Wood RdPort Washington, NY 11050-2625 · (516) 652-7647 · Fax (516) 944-2385
Fax(516) 944-2385
Organization SubpartNo
Authorized OfficialMyles Edward GombertPresident · (516) 652-7647
Enumeration DateApril 14, 2016
Last NPPES UpdateMarch 27, 2017
NPI 1346694502 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 · 129224
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.
30 WOOD RD, Port Washington, NY 11050

Other Identifiers 1

Other45A201NY · Ptan

Other Providers at the Same Location NPPES

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

Internal Medicine
30 WOOD RD
SANDS POINT, NY 11050

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 Ltc Provider Management Corp's NPI number?

The NPI number for Ltc Provider Management Corp is 1346694502. It was assigned to this organization in the NPPES registry on April 14, 2016.

Where is Ltc Provider Management Corp located?

Ltc Provider Management Corp is located at 30 Wood Rd, Port Washington, NY 11050. The listed phone number is (516) 652-7647.

What is Ltc Provider Management Corp'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 Ltc Provider Management Corp was last updated on March 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.