Ltc Provider Management Corp
NPI 1346694502ActiveOrganization· Skilled Nursing Facility· Port Washington, NY
Skilled Nursing Facility in Port Washington, New York, registered in NPPES in April 2016. The authorized official on file is Myles Edward Gombert, M.D., President.
Overview
| NPI | 1346694502 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 14, 2016 |
| Last updated in NPPES | Mar 27, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 129224 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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