Provider Demographics
NPI:1871330910
Name:MAEFAIR ACQUISITION OPERATOR LLC
Entity type:Organization
Organization Name:MAEFAIR ACQUISITION OPERATOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:EPHRAM
Authorized Official - Last Name:OSTREICHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-705-4806
Mailing Address - Street 1:20 E SUNRISE HWY FL 2
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-1260
Mailing Address - Country:US
Mailing Address - Phone:516-705-4803
Mailing Address - Fax:
Practice Address - Street 1:21 MAEFAIR CT
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-4871
Practice Address - Country:US
Practice Address - Phone:203-459-5152
Practice Address - Fax:203-459-5156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility