Provider Demographics
NPI:1306875141
Name:TOWNHOUSE OPERATING COMPANY LLC
Entity type:Organization
Organization Name:TOWNHOUSE OPERATING COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:BEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILIPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-869-3700
Mailing Address - Street 1:755 HEMPSTEAD TPKE
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11553-1111
Mailing Address - Country:US
Mailing Address - Phone:516-565-1900
Mailing Address - Fax:516-565-5816
Practice Address - Street 1:755 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553-1111
Practice Address - Country:US
Practice Address - Phone:516-565-1900
Practice Address - Fax:516-565-5816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2015-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2950318N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2950318NOtherOPERATING PROVIDER NUMBER
NY6050OtherPRIM FACILITY INDICATOR
NY01701651Medicaid
NY335798Medicare Oscar/Certification