Basic Information
| Provider Information | |||||||||
| NPI: | 1508534298 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BROADVIEW HEALTH AND REHABILITATION CENTER LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2420 KNAPP ST | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112351006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189423483 | ||||||||
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| Practice Location | |||||||||
| Address1: | 850 27TH AVE | ||||||||
| Address2: | |||||||||
| City: | GREELEY | ||||||||
| State: | CO | ||||||||
| PostalCode: | 806345807 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9703531018 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2021 | ||||||||
| LastUpdateDate: | 08/30/2021 | ||||||||
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| AuthorizedOfficialLastName: | BLOCH | ||||||||
| AuthorizedOfficialFirstName: | ELY | ||||||||
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| AuthorizedOfficialTitleorPosition: | LEGAL ASSISTANT | ||||||||
| AuthorizedOfficialTelephone: | 7189423483 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 08/13/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 385H00000X | Y | Respite Care Facility | Respite Care |
No ID Information.