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Contact Information

SUMMIT PARK AT FRIEDWALD CARE, LLC
50 SANITORIUM RD, BLDG A, 3RD FLOOR
POMONA, NY10970
 Phone: 845-243-5000
 Fax: 845-243-5001
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Adult Day Care

261QA0600X
Indicates primary specialty

NPI Profile & details for SUMMIT PARK AT FRIEDWALD CARE, LLC

NPI # 1619339363
LBN Legal business name SUMMIT PARK AT FRIEDWALD CARE, LLC
Authorized official STEVE STAUM - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/22/2016
Last updated 02/24/2026 - About 3 months ago
Identifiers
NY License # 4350305N
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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