PARK NURSING HOME
NPI 1801887898
Nursing Facility/Intermediate Care Facility in Rockaway Park, NY

Q: What is Park Nursing Home's NPI number?

The NPI number for Park Nursing Home is 1801887898. It was assigned to this organization in the NPPES registry on October 31, 2005.

Q: What is Park Nursing Home's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Q: What quality rating does Park Nursing Home have?

CMS rates Park Nursing Home 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Q: When was this NPI record last updated?

The NPPES record for Park Nursing Home was last updated on March 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since October 31, 2005CLIA 33D1003791 · Waiver

1/5

Overall Rating

128 BEACH 115 STREET, ROCKAWAY PARK, NY 11694(718) 474-6400(718) 474-9669 Get Directions Write a Review

NPPES record last updated: March 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Park Nursing Home NPPES

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

PARK NURSING HOME (NPI 1801887898) is a healthcare organization registered as a nursing facility/intermediate care facility in Rockaway Park, New York and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Patrick Russell, Administrator, as its authorized official.

NPPES Registry Identity

NPI1801887898

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NamePARK NURSING HOME

Location Address128 BEACH 115 STREETRockaway Park, NY 11694

Mailing Address128 Beach 115 StreetRockaway Park, NY 11694 · (718) 474-6400 · Fax (718) 474-9669

Phone(718) 474-6400

Fax(718) 474-9669

Organization SubpartNo

Authorized OfficialPatrick RussellAdministrator · (718) 474-6400

Enumeration DateOctober 31, 2005

Last NPPES UpdateMarch 12, 2008

✔ NPI 1801887898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

128 BEACH 115 STREET, Rockaway Park, NY 11694

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Other Identifiers 2

Medicaid00312487NY

Medicare OSCAR/certification335093NY

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 33D1003791

Park Nursing Home · Rockaway Park, NY

Active · expires Mar 26, 2027

CLIA Number33D1003791

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 11, 2002

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Isaac R. Madeb

Laboratory Phone(718) 474-6400

Laboratory LocationPark Nursing Home128 Beach 115 Street, Rockaway Park, NY 11694

CLIA data matches this NPI record on: Address 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 Park Nursing Home (CMS certification number 335093), from CMS Care Compare.

Park Nursing Home

Nursing home · Rockaway Park, NY

1/5 CMS Overall Rating

OwnershipFor profit - Corporation

CMS Certification Number335093

Certified Beds196 beds171 residents per day on average

Medicare & Medicaid Participant SinceJanuary 1, 1967

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

3/5

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.

2/5

Staffing

Based on nursing staff hours relative to resident needs.

2/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

58.67

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 1.95 · LPN 0.55 · RN 0.39

2.89 hrs per resident per day

Weekend Nurse Staffing

2.64 hrs per resident per day

Physical Therapist Staffing

0.06 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

46.2%

Registered Nurse Turnover

52.2%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Fines

2 totaling $12,463.10

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

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

PARK HOUSE CARE CENTER LLC

Skilled Nursing Facility

128 BEACH 115 STREET
ROCKAWAY BEACH, NY 11694

Queens County (718) 474-6400

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 Park Nursing Home's NPI number?

The NPI number for Park Nursing Home is 1801887898. It was assigned to this organization in the NPPES registry on October 31, 2005.

Where is Park Nursing Home located?

Park Nursing Home is located at 128 Beach 115 Street, Rockaway Park, NY 11694. The listed phone number is (718) 474-6400.

What is Park Nursing Home's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Park Nursing Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1003791) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Park Nursing Home a Medicare-certified nursing home?

Yes. Park Nursing Home is a Medicare-certified nursing home with 196 certified beds.

What quality rating does Park Nursing Home have?

CMS rates Park Nursing Home 1 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 Park Nursing Home was last updated on March 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.