Provider Demographics
NPI:1427100064
Name:TREETOPS REHABILITATION & CARE CENTER LLC
Entity type:Organization
Organization Name:TREETOPS REHABILITATION & CARE CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS RECEIVABLE
Authorized Official - Prefix:MS
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSCHETTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-576-0600
Mailing Address - Street 1:3550 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:MOHEGAN LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:10547-1273
Mailing Address - Country:US
Mailing Address - Phone:914-528-2000
Mailing Address - Fax:914-528-9235
Practice Address - Street 1:3550 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:MOHEGAN LAKE
Practice Address - State:NY
Practice Address - Zip Code:10547-1273
Practice Address - Country:US
Practice Address - Phone:914-528-2000
Practice Address - Fax:914-528-9235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY314000000X
NY5968302N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01710883Medicaid
NY01710883Medicaid
NY335342Medicare Oscar/Certification