PARK AVENUE OPERATING COMPANY LLC
NPI 1720111479
Skilled Nursing Facility in Long Beach, NY

Active since March 13, 2007CLIA 33D0965492 · Waiver
5/5
Overall Rating
425 NATIONAL BLVD, LONG BEACH, NY 11561(516) 431-2600 Get Directions Write a Review

NPPES record last updated: November 21, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Park Avenue Operating Company Llc NPPES

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

PARK AVENUE OPERATING COMPANY LLC (NPI 1720111479) is a healthcare organization registered as a skilled nursing facility in Long Beach, New York and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jeffrey Goldstein, Officer, as its authorized official.Information from the official NPPES registry record, last updated November 21, 2014.

NPPES Registry Identity

NPI1720111479
Entity TypeOrganization
Legal Business NamePARK AVENUE OPERATING COMPANY LLC
Location Address425 NATIONAL BLVDLong Beach, NY 11561-2031
Mailing Address425 National BlvdLong Beach, NY 11561-2031
Organization SubpartNo
Authorized OfficialJeffrey GoldsteinOfficer · (516) 869-3700
Enumeration DateMarch 13, 2007
Last NPPES UpdateNovember 21, 2014
NPI 1720111479 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Skilled Nursing Facility

Taxonomy 314000000X · Nursing & Custodial Care Facilities

Licensed in NY · 2902306N

(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… Show more

425 NATIONAL BLVD, Long Beach, NY 11561

Also on File with NPPES

Other Identifiers2
02001229 (Medicaid, NY)
335819 (Medicare ID-Type Unspecified, NY)

Nursing Home Quality Information

The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.

Overall Quality Rating - 5 out of 5 stars - Much Above Average
The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.
Health Inspection RatingNot Available
The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections.
Quality Measures Rating - 5 out of 5 stars - Much Above Average
The quality measures star rating is based on data from a select set of clinical measures.
Long-Stay Quality Measures Rating - 5 out of 5 stars - Much Above Average
The long-stay quality of care rating is based on the quality of care delivered to long-term residents only.
Short-Stay Quality Measures Rating - 4 out of 5 stars - Above Average
The short-stay quality of care rating is based on the quality of care delivered to temporary residents only.
Staffing Rating - 2 out of 5 stars - Below Average
The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides.
Nurse Aide Staffing Hours2.24 hours per resident per day
Nurse aide hours per resident per day. Higher number of hours are better.
RN Staffing Hours0.44 hours per resident per day
Resgistered nurse hours per resident per day. Higher number of hours are better.
RN Staff Turnover51.7%
Resgistered nurse turnover is the percentage of registered nursing staff who stop working at the facility within a given year.
Ownership TypeFor profit - Individual
Is the facility private for profit, not-for profit or publicly owned.
Number of Certified Beds240 beds
Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs.
Residents per Day215 residents
Average number of residents living in the facility per day.
Automatic Sprinkler SystemsYes
Does the facility have automatic sprinkler systems in all required areas?
Facility Reported Incidents0 incidents
Number of facility-reported incidents in the past 3 years. A lower number is better.
Substantiated Complaints0 complaints
Number of substantiated complaints in the past 3 years. A lower number is better.
Citations from Inspections0 citations after infection control inspection
Number of citations from infection control inspections in the past 3 years. A lower number is better.
Total Number of Penalties0 penalties from a serious health, fire safety or long-term unresolved citation
The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time.
Number of Fines0 fines
Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare.
Amount of Fines$0.00
Total monetary amount of fine imposed on the facility in the last 3 years.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D0965492
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 22, 1999
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. POLINA KHANINA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Park Avenue Operating Company Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PARK AVENUE OPERATING COMPANY LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Licensed Practical Nurse
425 NATIONAL BLVD
LONG BEACH, NY 11561
Internal Medicine
425 NATIONAL BLVD
LONG BEACH, NY 11561
Nurse Practitioner (Adult Health)
425 NATIONAL BLVD
LONG BEACH, NY 11561

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720111479, enumerated as an "organization" on March 13, 2007.

The provider is located at 425 NATIONAL BLVD LONG BEACH, NY 11561 and the phone number is (516) 431-2600.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.