QUEENS BOULEVARD EXTENDED CARE FACILITY MANAGEMENT LLC
NPI 1972926681
Skilled Nursing Facility in Woodside, NY

Active since January 31, 2014
3/5
Overall Rating
6111 QUEENS BLVD, WOODSIDE, NY 11377(718) 205-0287(718) 803-0694 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Queens Boulevard Extended Care Facility Management Llc NPPES

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

QUEENS BOULEVARD EXTENDED CARE FACILITY MANAGEMENT LLC (NPI 1972926681) is a healthcare organization registered as a skilled nursing facility in Woodside, New York and active in the NPI registry since January 2014. The organization lists Joseph Malone, Cfo, as its authorized official.

NPPES Registry Identity

NPI1972926681
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameQUEENS BOULEVARD EXTENDED CARE FACILITY MANAGEMENT LLC
Location Address6111 QUEENS BLVDWoodside, NY 11377-4965
Mailing Address6111 Queens BlvdWoodside, NY 11377-4965 · (718) 205-0287 · Fax (718) 803-0694
Fax(718) 803-0694
Organization SubpartNo
Authorized OfficialJoseph MaloneCfo · (718) 205-0287
Enumeration DateJanuary 31, 2014
Last NPPES UpdateDecember 15, 2021
NPPES CertifiedDecember 15, 2021
NPI 1972926681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in NY · 700341N
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.
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
6111 QUEENS BLVD, Woodside, NY 11377

Other Identifiers 3

Medicaid02996110NY
Medicaid7003410NNY
Medicaid1710672NY

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Queens Boulevard Extended Care Facility (CMS certification number 335791), from CMS Care Compare.

Queens Boulevard Extended Care Facility

Nursing home · Woodside, NY
3/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number335791
Certified Beds280 beds268 residents per day on average
Medicare & Medicaid Participant SinceDecember 29, 1995
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.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
20
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 2.73 · LPN 0.27 · RN 0.98
3.97 hrs per resident per day
Weekend Nurse Staffing
3.63 hrs per resident per day
Physical Therapist Staffing
0.05 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
38.8%
Registered Nurse Turnover
38.8%
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
3
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.

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Family)
6111 QUEENS BLVD
WOODSIDE, NY 11377
Nurse Practitioner (Family)
6111 QUEENS BLVD
WOODSIDE, NY 11377
Physical Therapy Assistant
6111 QUEENS BLVD
WOODSIDE, NY 11377
Physical Therapist
6111 QUEENS BLVD
WOODSIDE, NY 11377
Nurse Practitioner (Family)
6111 QUEENS BLVD
WOODSIDE, NY 11377
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
6111 QUEENS BLVD
WOODSIDE, NY 11377
Skilled Nursing Facility
6111 QUEENS BLVD
WOODSIDE, NY 11377
Occupational Therapist
6111 QUEENS BLVD
WOODSIDE, NY 11377

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 Queens Boulevard Extended Care Facility Management LLC's NPI number?

The NPI number for Queens Boulevard Extended Care Facility Management LLC is 1972926681. It was assigned to this organization in the NPPES registry on January 31, 2014.

Where is Queens Boulevard Extended Care Facility Management LLC located?

Queens Boulevard Extended Care Facility Management LLC is located at 6111 Queens Blvd, Woodside, NY 11377. The listed phone number is (718) 205-0287.

What is Queens Boulevard Extended Care Facility Management LLC's specialty?

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

Is Queens Boulevard Extended Care Facility Management LLC a Medicare-certified nursing home?

Yes. Queens Boulevard Extended Care Facility is a Medicare-certified nursing home with 280 certified beds.

What quality rating does Queens Boulevard Extended Care Facility Management LLC have?

CMS rates Queens Boulevard Extended Care Facility 3 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 Queens Boulevard Extended Care Facility Management LLC was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.