NEWCO ALP INC - NPI 1508400649 - Assisted Living Facility in Hempstead, NY

Q: What is the provider's specialty?

The provider's specialty is Assisted Living Facility with taxonomy code 310400000X.

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About Newco Alp Inc NPPES

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

NEWCO ALP INC (NPI 1508400649), doing business as Island Assisted Living, is a healthcare organization registered as an assisted living facility in Hempstead, New York and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Shia Rosenbaum, Controller, as its authorized official.

NPPES Registry Identity

NPI1508400649

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameNEWCO ALP INC

Location Address820 FRONT STHempstead, NY 11550-4627

Mailing Address820 Front StHempstead, NY 11550-4627 · (516) 708-0502 · Fax (516) 564-5353

Phone(516) 708-0502

Fax(516) 564-5353

Organization SubpartNo

Authorized OfficialShia RosenbaumController · (516) 708-0507

Enumeration DateNovember 1, 2019

✔ NPI 1508400649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

820 FRONT ST, Hempstead, NY 11550

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Other Names 1

Doing Business AsIsland Assisted Living

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 33D2145435

Newco Alp Dba Island Assisted Living · Hempstead, NY

Active · expires Mar 26, 2027

CLIA Number33D2145435

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateMarch 7, 2018

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Rajesh Rohatgi

Laboratory Phone(516) 564-1100

Laboratory LocationNewco Alp Dba Island Assisted Living820 Front Street, Hempstead, NY 11550

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

PAMELA FALKE

Physical Therapy Assistant