Victory Lake Operations, Llc in Hyde Park - Skilled Nursing Facility
Victory Lake Operations, Llc - NPI 1164419511
Victory Lake Operations, Llc is a Skilled Nursing Facility in Hyde Park, New York. Victory Lake Operations, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Victory Lake Operations, Llc is 1164419511. The last update date is 2008-01-15.
Victory Lake Operations, Llc's current location address is 419 N Quaker Ln, Hyde Park, New York. You can contact this provider via phone number 8452299177 and fax number 8452292734. The mailing address for Victory Lake Operations, Llc is 419 N Quaker Ln, Hyde Park, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Victory Lake Operations, Llc |
|---|---|
| Address | 419 N Quaker Ln, Hyde Park, New York |
| Phone Number | 8452299177 |
| Fax Number | 8452292734 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPERATOR |
|---|---|
| Authorized Official Name | Wood J Gerald |
| Telephone Number | 8452299177 |
NPI Number Detail
| NPI Number | 1164419511 |
|---|---|
| Provider Enumeration Date | 2005-09-30 |
| Last Updated Date | 2008-01-15 |
Provider Mailing Address Detail
| Address | 419 N Quaker Ln |
|---|---|
| City | Hyde Park |
| State | New York (NY) |
| Post Code | 125382933 |
| Phone Number | 8452299177 |
| Fax Number | 8452292734 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 308961 |
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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 serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 308961 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Victory Lake Operations, Llc by the Centers for Medicare & Medicaid Services?
The Victory Lake Operations, Llc has been issued the NPI (National Provider Identifier) 1164419511, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Victory Lake Operations, Llc is geographically located?
The Victory Lake Operations, Llc is physically situated at the following location: 419 N Quaker Ln, Hyde Park, NY, 125382933.
What is the Victory Lake Operations, Llc's area of specialization and corresponding taxonomy classification?
The Victory Lake Operations, Llc's specialty field is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164419511 to Victory Lake Operations, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1164419511 to Victory Lake Operations, Llc on 2005-09-30.
As of what date were the details related to Victory Lake Operations, Llc most recently updated or revised?
The information pertaining to Victory Lake Operations, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-15.