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Prior authorization request form

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(1) Does the request meet this criterion: Refer to your EmblemHealth contract or certificate of coverage for details about skilled nursing facility benefits available to you. Coverage is subject to all terms, conditions, limitations, and exclusions set forth in the contract or? 

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  Reference



Skilled Nursing Facility (SNF) Your Guide to Choosing the Right Facility

2 Choosing the right skilled nursing facility (SNF) for yourself or a loved one, or recommending one for one of your patients, can be a challenging, potentially emotional task. There are many aspects of SNF care that individuals and families should consider when deciding on a facility. The list includes location and size, services offered, staffing, level of independence, and if the facility has any outstanding complaints or grievances against it. Very often an individual or family/member will consult with a social worker or trusted physician for their medical opinion, as it is important to go beyond word-of-mouth recommendations. The need for care is as unique as the person receiving it. The Centers for Medicare & Medicaid Services (CMS) created a Five-Star Quality Rating System to help consumers, their families, caregivers, and providers easily compare nursing homes. The CMS rating is one of the best indicators of quality care. This system can highlight areas to ask questions about before they/their loved-one/their patient is admitted. Each SNF is given one overall star rating and a separate rating for each of the following three categories: health inspections, staffing, and quality measures.1 For more information about CMS’s five-star quality rating system, please visit: www.cms.gov/Medicare/Provider-Enrollment-and-Certification/ CertificationandComplianc/FSQRS When Choosing Care, Quality Matters Star Rating What It Means Excellent Above Average Average Below Average Poor

3 1“Five-Star Quality Rating System.” Centers for Medicare & Medicaid Services, www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandComplianc/FSQRS. Accessed 1 November 2021.

  • Refer to your EmblemHealth contract or certificate of coverage for details about skilled nursing facility benefits available to you. Coverage is subject to all terms, conditions, limitations, and exclusions set forth in the contract or certificate of coverage. Providers/individuals/families may also elect to review this site health.data.ny.gov/Health/Nursing-Home-Weekly-Bed-Census-Last- Submission/izta-vnpq, that shows the weekly available beds for each skilled nursing facility. To qualify for SNF extended care services coverage, traditional Medicare requires patients to meet the 3-day rule: The patient must have a medically necessary, consecutive 3-day inpatient hospital stay before SNF admission. Private insurance companies, such as EmblemHealth, typically do NOT have the same requirement for SNF admissions. Therefore, our members (Commercial, Medicare Advantage and Medicaid) may be admitted to SNFs directly from home, an emergency room or following an observation stay in the hospital when medically appropriate.* EmblemHealth’s primary concern is the quality of care our members receive in every setting, including skilled nursing facilities. To aid members, families, and providers in the decision of choosing a SNF to meet their/their patient’s needs, EmblemHealth has compiled a list of our contracted SNFs with a Star Quality Rating of 3 and above.

4 Provider NPI Star Rating SNF NAME Address City State Zip Code Network Product 1437187150 5 Northwell Health Stern Family Center for Rehabilitation 330 Community Dr Manhasset NY 11030-3816 HIP EPO HMO Medicaid Medicare Advantage 1396753224 5 North Shore- Lij Orzac Center for Rehabilitation 900 Franklin Ave Valley Stream NY 11580-2145 HIP EPO HMO Medicaid Medicare Advantage 1710328380 5 Workmens Circle Multicare Center 3155 Grace Ave Bronx NY 10469-3134 Essential HIP EPO HMO Medicaid Medicare Advantage 1851467369 5 Parker Jewish Institute for Health Care and Rehabilitation 27111 76th Ave New Hyde Park NY 11040-1436 Essential HIP EPO HMO Medicaid Medicare Advantage 1356331565 5 Eger Health Care and Rehabilitation 140 Meisner Ave Staten Island NY 10306-1236 HMO Medicaid Medicare Advantage 1023097698 5 Carmel Richmond Nursing Home 88 Old Town Rd Staten Island NY 10304-4212 HARP HMO Medicaid Medicare Advantage 1043392657 5 Hillside Manor Rehabilitation 18215 Hillside Ave Jamaica NY 11432-4853 Essential HMO Medicaid Medicare Advantage 1952395626 5 Kings Harbor Multicare Center 2000 E Gun Hill Rd Bronx NY 10469-6016 HMO Medicaid Medicare Advantage 1407841802 5 Jamaica Hospital Nursing Home 8940 135th St Jamaica NY 11418-2828 Essential HMO Medicaid Medicare Advantage 1942717426 5 Downtown Brooklyn Nursing and Rehabilitation Center 520 Prospect Pl Brooklyn NY 11238-4205 HMO Medicaid Medicare Advantage 1922004282 5 Upper East Side Rehabilitation and Nursing Center 211 E 79th St New York NY 10075-0819 HMO Medicare Advantage 1710968839 5 Belair Care Center 2478 Jerusalem Ave North Bellmore NY 11710-1827 Essential HMO Medicare Advantage 1912264565 5 Rockville Nursing Home 41 Maine Ave Rockville Centre NY 11570-3614 HMO Medicare Advantage 1346704905 5 Margaret Tietz Nursing and Rehabilitation Center 16411 Chapin Pkwy Jamaica NY 11432-1816 HMO Medicaid Medicare Advantage 1063411262 5 Providence Rest Nursing Home 3304 Waterbury Ave Bronx NY 10465-1554 Medicaid Medicare Advantage 1568535284 5 Throgs Neck Extended Care 707 Throggs Neck Expy Bronx NY 10465-2319 HARP HMO Medicare Advantage

5 Provider NPI Star Rating SNF NAME Address City State Zip Code Network Product 1710966379 5 Mary Manning Walsh Nursing Home 1339 York Ave New York NY 10021-4707 HMO 1205822400 5 Our Lady Of Consolation Geriatric Care Center 111 Beach Dr West Islip NY 11795-4929 HIP EPO Medicare Advantage 1568867562 5 The Pavilion at Queens for Rehabilitation 3617 Parsons Blvd Flushing NY 11354-5931 Essential HMO Medicaid Medicare Advantage 1861486011 5 Atrium Center 611 E 103rd St Brooklyn NY 11236-2501 HMO Medicaid Medicare Advantage 1497716534 5 A Holly Patterson Extended Care Facility 875 Jerusalem Ave Uniondale NY 11553-3038 HARP HIP EPO HMO Medicaid Medicare Advantage 1467433664 5 Dry Harbor Nursing Home 6135 Dry Harbor Rd Middle Village NY 11379-1528 HARP HMO Medicaid Medicare Advantage 1558342444 5 United Hebrew Geriatric Center 391 Pelham Rd New Rochelle NY 10805-2225 HIP EPO HMO Medicare Advantage 1679013460 5 Schervier Nursing Care Center 2975 Independence Ave Bronx NY 10463-4620 Essential HMO Medicare Advantage 1396743464 5 Village Center for Care 214 W Houston St New York NY 10014-4846 HARP HMO Medicaid Medicare Advantage 1346249216 5 Sunharbor Manor 255 Warner Ave Roslyn Heights NY 11577-1000 Essential HMO Medicare Advantage 1922004860 5 Menorah Nursing Home 1516 Oriental Blvd Brooklyn NY 11235-2328 Medicaid Medicare Advantage 1497741763 5 St. Catherine of Siena Nursing 52 Route 25A Smithtown NY 11787-1346 Medicare Advantage 1669472304 5 Gurwin Jewish Geriatric Center 68 Hauppauge Rd Commack NY 11725-4403 HMO Medicaid Medicare Advantage 1366438418 5 Glen Cove Center for Nursing and Rehabilitation 6 Medical Plz Glen Cove NY 11542-2108 Essential HMO Medicare Advantage 1831294636 5 Schulman and Schachne Institute 555 Rockaway Pkwy Brooklyn NY 11212-3132 HARP HMO Medicaid Medicare Advantage 1780661785 5 Long Island Care Center 14461 38th Ave Flushing NY 11354-5935 Essential HMO Medicaid Medicare Advantage 1083093306 5 Adira at Riverside Rehabilitation and Nursing 120 Odell Ave Yonkers NY 10701-1408 HMO Medicare Advantage

6 Provider NPI Star Rating SNF NAME Address City State Zip Code Network Product 1932215209 5 Queens Center Rehabilitation and Residential Health Care 15715 19th Ave Whitestone NY 11357-3820 HMO Medicare Advantage 1508861675 5 Buena Vida Continuing Care and Rehabilitation Center 48 Cedar St Brooklyn NY 11221-3253 HMO Medicaid Medicare Advantage 1477876977 5 Dumont Center for Rehabilitation and Nursing Care 676 Pelham Rd New Rochelle NY 10805-1038 HMO InBalance PPO Medicaid Medicare Advantage 1376989376 5 Excel at Woodbury for Rehabilitation and Nursing 8533 Jericho Tpke Woodbury NY 11797-1804 HMO Medicaid Medicare Advantage 1790772242 5 Sheepshead Nursing Home 2840 Knapp St Brooklyn NY 11235-1112 HARP HMO Medicare Advantage 1083696132 5 Wayne Nursing Home 3530 Wayne Ave Bronx NY 10467-1511 HMO Medicare Advantage 1730248246 5 New York Center for Rehabilitation and Nursing 2613 21st St Astoria NY 11102-3544 HMO Medicare Advantage 1386631547 5 Brookhaven Healthcare 801 Gazzola Dr East Patchogue NY 11772-4900 HMO Medicaid Medicare Advantage 1154774271 5 Port Chester Nursing Home 1000 High St Port Chester NY 10573-4402 Medicare Advantage 1609384403 5 Little Neck Care Center 26019 Nassau Blvd Little Neck NY 11362-2241 Medicare Advantage 1477554723 5 Four Seasons Nursing and Rehabilitation Center 1555 Rockaway Pkwy Brooklyn NY 11236-4001 HMO Medicaid Medicare Advantage 1164413977 5 Garden Care Center 135 Franklin Ave Franklin Square NY 11010-2500 HMO Medicare Advantage 1558397323 5 Smithtown Center for Rehabilitation and Nursing Care 391 N Country Rd Smithtown NY 11787-2069 Medicare Advantage 1003988619 5 Bronx Park Rehabilitation and Nursing Center 3845 Carpenter Ave Bronx NY 10467-5204 Medicare Advantage 1699978452 5 Cliffside Rehabilitation and Residential Health Care Center 11919 Graham Ct Flushing Ny 11354-1047 HMO Medicare Advantage 1336553080 5 Shore View Nursing Home 2865 Brighton 3rd St Brooklyn NY 11235-6762 Medicaid Medicare Advantage 1154314573 5 Beacon Rehabilitation and Nursing Center 140 Beach 113th St Rockaway Park NY 11694-2403 HARP Medicaid Medicare Advantage 1053390534 5 St. Vincent De Paul Residence 900 Intervale Ave Bronx NY 10459-4240 Medicare Advantage 1073911533 5 Sapphire Center for Rehabilitation and Nursing 3515 Parsons Blvd Flushing NY 11354-4236 Essential Medicare Advantage 1063419356 5 Maria Regina Residence Inc. 1725 Brentwood Rd Brentwood NY 11717-5543 Medicare Advantage

7 Provider NPI Star Rating SNF NAME Address City State Zip Code Network Product 1578581542 5 Hudson Pointe at Riverdale Center for Nursing and Rehabilitation 3220 Henry Hudson Pkwy Bronx NY 10463-3211 Medicare Advantage 1538119011 5 The Hamptons Center for Nursing 64 County Road 39 Southampton NY 11968-5215 Medicare Advantage 1821149055 5 Gold Crest Care Center 2316 Bruner Ave Bronx NY 10469-6323 Medicare Advantage 1538276530 5 Helen Hayes Hospital 51-55 N Route 9w West Haverstraw NY 10993-1195 HIP EPO Medicare Advantage 1063580272 5 Waterview Hills Rehabilitation and Nursing 537 Route 22 Purdys NY 10578-2900 Medicare Advantage 1083693576 5 Archcare at Ferncliff Nursing Home 21 Ferncliff Dr Rhinebeck NY 12572-2068 HIP EPO Medicare Advantage 1811005010 5 University Center for Rehabilitation and Nursing 2505 Grand Ave Bronx NY 10468-4206 Medicaid Medicare Advantage 1861481566 5 Mosholu Parkway Nursing and Rehabilitation 3356 Perry Ave Bronx NY 10467-3204 Medicaid Medicare Advantage 1275529612 5 Good Samaritan Nursing Home 101 Elm St Sayville NY 11782-3111 Medicare Advantage 1285633354 5 The Osborn 101 Theall Rd Rye NY 10580-1406 Medicare Advantage 1336486745 5 Caton Park Rehabilitation and Nursing Center 1312 Caton Ave Brooklyn NY 11226-1002 Medicare Advantage 1093718728 5 John T. Mather Memorial Hospital 75 N Country Rd Port Jefferson NY 11777-2119 Medicare Advantage 1083837157 5 St. Marys Hospital for Children 2901 216th St Bayside NY 11360-2810 Medicaid 1164536660 5 Brooklyn United Methodist Church Home 1485 Dumont Ave Brooklyn NY 11208-4705 Medicaid 1205166816 5 Middletown Park Rehabilitation and Healthcare 121 Dunning Rd Middletown NY 10940-2243 Medicare Advantage 1184632945 4 Dr. Susan Smith Mckinney Nursing and Rehabilitation Center 594 Albany Ave Brooklyn NY 11203-1706 HMO Medicaid Medicare Advantage 1285642512 4 Seaview Hospital 460 Brielle Ave Staten Island NY 10314-6427 Essential HARP HMO Medicaid Medicare Advantage 1497859573 4 New Gouverneur Healthcare Services 227 Madison St New York NY 10002-7537 HARP HMO Medicaid Medicare Advantage 1679581607 4 Coler Rehabilitation and Nursing 900 Main St Roosevelt Island NY 10044-0066 Medicare Advantage

8 Provider NPI Star Rating SNF NAME Address City State Zip Code Network Product 1922016781 4 Henry J. Carter Specialty Hospital 1752 Park Ave New York NY 10035-2811 HARP HMO Medicaid Medicare Advantage 1194733642 4 Fairview Nursing Care Center 6970 Grand Central Pkwy Forest Hills NY 11375-3949 HARP HMO Medicaid Medicare Advantage 1144424805 4 Regal Heights Rehabilitation 7005 35th Ave Jackson Heights NY 11372-3970 Essential HMO Medicaid Medicare Advantage 1720151863 4 Morris Park Nursing Home 1235 Pelham Pkwy N Bronx NY 10469-5817 HMO Medicare Advantage 1699225169 4 The Plaza Rehabilitation and Nursing Center 100 W Kingsbridge Rd Bronx NY 10468-3961 HMO Medicaid Medicare Advantage 1265724298 4 Lynbrook Restorative Therapy 243 Atlantic Ave Lynbrook NY 11563-3552 HMO Medicare Advantage 1164419883 4 Central Island Healthcare 825 Old Country Rd Plainview NY 11803-4913 HMO Medicare Advantage 1457358814 4 Meadowbrook Care Center 320 W Merrick Rd Freeport NY 11520-3248 HMO Medicare Advantage 1982913109 4 Boro Park Center for Rehabilitation and Nursing 4915 10th Ave Brooklyn NY 11219-3301 HMO Inbalance PPO Medicare Advantage 1841365509 4 Brooklyn Center for Rehabilitation and Nursing 1455 Coney Island Ave Brooklyn NY 11230-4713 HMO Medicare Advantage 1558808840 4 The Chateau at Brooklyn Rehabilitation and Nursing Center 3457 Nostrand Ave Brooklyn NY 11229-5131 HMO Medicaid Medicare Advantage 1457342206 4 Daleview Care Center 574 Fulton St Farmingdale NY 11735-3667 Medicare Advantage 1396732921 4 Forest View Nursing Home 7120 110th St Forest Hills NY 11375-4844 HMO Medicare Advantage 1386623874 4 Regeis Care Center 3200 Baychester Ave Bronx NY 10475-1513 HIP EPO Medicaid Medicare Advantage 1417354689 4 The Grove at Valhalla Rehabilitation and Nursing Center 61 Grasslands Road Valhalla NY 10595-1543 HMO Medicaid Medicare Advantage 1306875141 4 Townhouse Extended Care 755 Hempstead Tpke Uniondale NY 11553-1111 HMO Medicare Advantage 1174510648 4 Golden Gate Rehabilitation 191 Bradley Ave Staten Island NY 10314-5166 HARP HMO Medicaid Medicare Advantage 1821505314 4 Luxor Nursing and Rehabilitation at Sayville 300 Broadway Ave Sayville NY 11782-1628 HARP HMO Medicaid Medicare Advantage 1669739207 4 St. James Rehab and Healthcare 275 Moriches Rd Saint James NY 11780-2150 Medicare Advantage

9 Provider NPI Star Rating SNF NAME Address City State Zip Code Network Product 1568435402 4 St. Patrick’s Home for the Aged and Infirm 66 Van Cortlandt Park S Bronx NY 10463-3102 Medicare Advantage 1174509483 4 Westhampton Care Center 78 Old Country Rd Westhampton NY 11977-1219 Medicare Advantage 1326025578 4 St. Barnabas Nursing Home 2175 Quarry Rd Bronx NY 10457-1663 Medicare Advantage 1093708646 4 Rockville Skilled Nursing and Rehabilitation Center 50 Maine Ave Rockville Centre NY 11570-3608 Medicare Advantage 1467869602 4 Brooklyn Gardens Nursing 835 Herkimer St Brooklyn NY 11233-3031 HMO Medicaid Medicare Advantage 1306918685 4 Elmhurst Care Center 10017 23rd Ave East Elmhurst NY 11369-1305 Harp HMO Medicaid Medicare Advantage 1831147214 4 Friedwald Center for Rehabilitation and Nursing 475 New Hempstead Rd New City NY 10956-1000 HMO Medicare Advantage 1578899076 4 Hamilton Park Nursing and Rehabilitation Center 691 92nd St Brooklyn NY 11228-3619 Medicare Advantage 1720421019 4 Triboro Center for Rehabilitation and Nursing 1160 Teller Ave Bronx NY 10456-4145 Medicare Advantage 1467457002 4 Concourse Rehabilitation and Nursing Home 1072 Grand Concourse Bronx NY 10456-3901 Essential Medicare Advantage 1821084195 4 Manhattanville Health Care Center 311 W 231st St Bronx NY 10463-3804 Medicare Advantage 1376931360 4 Cypress Garden Center For Nursing and Rehabilitation 13966 35th Ave Flushing NY 11354-3524 HARP HMO Medicaid Medicare Advantage 1780994046 4 Mills Pond Nursing and Rehabilitation 273 Moriches Rd Saint James NY 11780-2117 Essential Medicare Advantage 1639177272 4 Forest Hills Nursing Home 7144 Yellowstone Blvd Forest Hills NY 11375-4114 HMO Medicare Advantage 1487669172 4 Island Nursing and Rehabilitation Center 5537 Expressway Dr N Holtsville NY 11742-1316 Medicare Advantage 1659460160 4 Highfield Gardens Care Ctr 199 Community Dr Great Neck NY 11021-5502 Medicare Advantage 1497994800 4 Ditmas Park Care Center 2107 Ditmas Ave Brooklyn NY 11226-6903 Medicare Advantage 1790772150 4 White Oaks Rehabilitation and Nursing Center 8565 Jericho Tpke Woodbury NY 11797-1804 Medicare Advantage 1376788513 4 Sutton Park Center for Nursing 31 Lockwood Ave New Rochelle NY 10801-5023 HARP HMO Medicaid Medicare Advantage 1265429856 4 Carillon Nursing and Rehabilitation Center 830 Park Ave Huntington NY 11743-4543 Medicare Advantage

10 Provider NPI Star Rating SNF NAME Address City State Zip Code Network Product 1548323157 4 Vanderbilt Nursing Home 135 Vanderbilt Avenue Staten Island NY 10304-2604 HARP Medicare Advantage 1295724987 4 Sky View Rehabilitation 1280 Albany Post Rd Croton On Hudson NY 10520-1570 Medicare Advantage 1033200100 4 Verrazano Nursing Home 100 Castleton Ave Staten Island NY 10301-3004 Medicare Advantage 1467452946 4 Chapin Home for The Aging 16501 Chapin Pkwy Jamaica NY 11432-1807 Medicaid Medicare Advantage 1235213638 4 Regency Extended Care Center 65 Ashburton Ave Yonkers NY 10701-2930 Medicare Advantage 1184611758 4 Pine Valley Center for Rehabilitation 661 N Main St Spring Valley NY 10977-2319 Medicare Advantage 1154471258 4 The Wartburg Home Bradley Ave Mount Vernon NY 10552-0552 Medicare Advantage 1083602890 4 Saints Joachim and Anne Nursing and Rehabilitation Center 2720 Surf Ave Brooklyn NY 11224-1913 Hmo Medicare Advantage 1033220199 4 Ramapo Manor Nursing Center 30 Cragmere Rd Airmont NY 10901-7520 Medicare Advantage 1124299128 4 The Heritage Rehabilitation and Health Care Center 5606 15th Ave Brooklyn NY 11219-4708 Medicaid Medicare Advantage 1427100064 4 Treetops Rehabilitation and Care 3550 Lexington Ave Mohegan Lake NY 10547-1273 Medicare Advantage 1851486914 4 Grandell Rehabilitation and Nursing Center 645 W Broadway Long Beach NY 11561-2956 Medicare Advantage 1801336979 4 Cedar Manor Nursing and Rehabilitation 32 Cedar Ln Ossining NY 10562-2402 HMO Medicare Advantage 1134231632 4 Queens Nassau Nursing Home 520 Beach 19th St Far Rockaway NY 11691-4307 HMO Medicaid Medicare Advantage 1487712485 4 Salem Hills Rehabilitation and Nursing Center 539 Route 22 Purdys NY 10578-2900 Medicare Advantage 1225565955 4 New Paltz Center for Rehabilitation and Nursing 1 Jansen Rd New Paltz NY 12561-3811 HMO Medicare Advantage 1992856751 4 Promenade Nursing Home 140 Beach 114th St Rockaway Park NY 11694-2405 Medicare Advantage 1528230539 4 Tarrytown Hall Nursing Home 20 Wood Ct Tarrytown NY 10591-3108 Medicare Advantage 1457435877 4 Laconia Nursing Home 1050 E 230th St Bronx NY 10466-4810 Medicare Advantage 1568452548 4 Oceanview Nursing Home 315 Beach 9th St Far Rockaway NY 11691-5507 Medicare Advantage 1215928148 4 Ellis Residential and Rehabilitation Center 600 Mcclellan St Schenectady NY 12304-1009 Medicare Advantage 1780674192 4 Rockaway Care Center 353 Beach 48th St Far Rockaway NY 11691-1120 HMO 1306875141 4 Townhouse Extended 755 Hempstead Tpke Uniondale NY 11553-1111 Medicaid 1063419612 4 Caring Family Nursing and Rehabilitation 2241 New Haven Ave Far Rockaway NY 11691-2538 Medicaid

11 Provider NPI Star Rating SNF NAME Address City State Zip Code Network Product 1841365509 4 Brooklyn Center for Rehabilitation and Residential Health Care 170 Buffalo Ave Brooklyn NY 11213-2421 Medicare Advantage 1972926681 3 Queens Boulevard Extended Care 6111 Queens Blvd Woodside NY 11377-4965 HARP HIP EPO HMO Medicaid Medicare Advantage 1417952417 3 Clove Lake Nursing Home 25 Fanning St Staten Island NY 10314-5307 HMO Medicaid Medicare Advantage 1205939667 3 Hebrew Home at Riverdale 5901 Palisade Ave Bronx NY 10471-1205 Essential HMO Medicaid Medicare Advantage 1568539609 3 Huntington Hills Center for Health and Rehabilitation 400 S Service Rd Melville NY 11747-3316 HMO Medicare Advantage 1033236211 3 Amsterdam Nursing Home Corporation 1060 Amsterdam Ave New York NY 10025-1715 HMO Medicare Advantage 1245314285 3 Rutland Nursing Home 585 Schenectady Ave Brooklyn NY 11203-1822 HMO Medicare Advantage 1538194709 3 Isabella Geriatric Center 515 Audubon Ave New York NY 10040-3403 HMO Medicare Advantage 1235138165 3 East Neck Nursing 134 Great East Neck Rd West Babylon NY 11704-8027 HMO Medicare Advantage 1801898192 3 Rebekah Rehabilitation Extended Care Center 1070 Havemeyer Ave Bronx NY 10462-5310 Essential HMO Medicaid Medicare Advantage 1366847451 3 The Phoenix Rehabilitation and Nursing 140 Saint Edwards St Brooklyn NY 11201-3904 Essential HMO Medicare Advantage 1174520704 3 Glengariff Health Care Center 141 Dosoris Ln Glen Cove NY 11542-1225 HMO Medicare Advantage 1104355536 3 Massapequa Center Rehabilitation and Nursing 101 Louden Ave Amityville NY 11701-2736 HMO Medicaid Medicare Advantage 1609879915 3 Northern Manhattan Nursing Home 116 E 125th St New York NY 10035-1612 HMO Medicare Advantage 1942648613 3 St. MarksBrooklyn Associates 810 Saint Marks Ave Brooklyn NY 11213-1420 HMO Medicaid Medicare Advantage 1487917712 3 Sprain Brook Manor Rehabilitation 77 Jackson Ave Scarsdale NY 10583-3140 Medicare Advantage 1306892070 3 Spring Creek Rehabilitation and Nursing 660 Louisiana Ave Brooklyn NY 11239-1526 HMO Medicare Advantage 1720111479 3 Park Avenue Extended Care Facility 425 National Blvd Long Beach NY 11561-2031 HARP HIP EPO HMO Medicaid Medicare Advantage

12 Provider NPI Star Rating SNF NAME Address City State Zip Code Network Product 1548335664 3 Sarah R. Neuman Nursing Home 845 Palmer Ave Mamaroneck NY 10543-2406 HMO Inbalance PPO Medicaid Medicare Advantage 1134390321 3 Palm Gardens Nursing Home 615 Avenue C Brooklyn NY 11218-4101 HMO Medicare Advantage 1639234149 3 Marquis Rehabilitation and Nursing 2 Medical Plz Glen Cove NY 11542-2108 HIP EPO HMO Medicare Advantage 1821049164 3 Cobble Hill Nursing Home 380 Henry St Brooklyn NY 11201-6048 HMO Medicaid Medicare Advantage 1447248273 3 Staten Island Care Center 200 Lafayette Ave Staten Island NY 10301-1219 HARP HMO Medicare Advantage 1801206156 3 Seagate Rehab and Nursing Center 3015 W 29th St Brooklyn NY 11224-1901 HMO Medicaid Medicare Advantage 1538595962 3 Schaffer Extended Care Center 16 Guion Pl New Rochelle NY 10801-5502 Inbalance PPO Medicare Advantage 1376650226 3 Bronx Center for Rehabilitation and Healthcare 1010 Underhill Ave Bronx NY 10472-6012 HIP EPO HMO Medicare Advantage 1225105364 3 Sands Point Nursing Home 1440 Port Washington Blvd Port Washington NY 11050-2412 Medicare Advantage 1265846273 3 Long Beach Nursing and Rehabilitation Center 375 E Bay Dr Long Beach NY 11561-2350 HMO Medicare Advantage 1508212309 3 Martine Center for Rehabilitation and Nursing 12 Tibbits Ave White Plains NY 10606-2438 HMO Medicare Advantage 1699850669 3 Greater Harlem Nursing and Rehabilitation 30 W 138th St New York NY 10037-1710 Medicare Advantage 1407849490 3 Franklin Nursing Home 14227 Franklin Ave Flushing NY 11355-2629 Essential HMO Medicaid Medicare Advantage 1396742938 3 Port Jefferson Health Care Facility 150 Dark Hollow Rd Port Jefferson NY 11777-2048 Essential Medicare Advantage 1730586603 3 Linden Center For Nursing and Rehabilitation 2237 Linden Blvd Brooklyn NY 11207-7527 HIP EPO HMO Medicaid Medicare Advantage 1811999246 3 South Shore Rehabilitation 275 W Merrick Rd Freeport NY 11520-3346 HMO Medicare Advantage 1538268610 3 St. Joseph’s Nursing Home 127 S Broadway Yonkers NY 10701-4006 Medicaid Medicare Advantage 1437222163 3 Nassau Rehabilitation and Nursing Center 1 Greenwich St Hempstead NY 11550-5624 HMO Medicare Advantage 1407844194 3 Haym Solomon Home for the Aged 2340 Cropsey Ave Brooklyn NY 11214-5706 Medicaid Medicare Advantage POS 1891109823 3 Bedford Center for Nursing and Rehabilitation 40 Heyward St Brooklyn NY 11249-7823 HMO Medicare Advantage

13 Provider NPI Star Rating SNF NAME Address City State Zip Code Network Product 1407847395 3 Oxford Nursing Home 144 S Oxford St Brooklyn NY 11217-1604 HMO Medicare Advantage 1538588975 3 Peninsula Nursing and Rehabilitation Center 5015 Beach Channel Dr Far Rockaway NY 11691-1110 HARP HMO Medicaid Medicare Advantage 1528398914 3 Bellhaven Center for Rehabilitation and Nursing Care 110 Beaver Dam Rd Brookhaven NY 11719-9719 Medicare Advantage 1275521064 3 Oceanside Care Center 2914 Lincoln Ave Oceanside NY 11572-2141 Medicaid Medicare Advantage 1548778210 3 Brookside Multicare Nursing 7 Route 25a Smithtown NY 11787-1626 HMO Medicaid Medicare Advantage 1477609188 3 Brookhaven Rehabilitation 250 Beach 17th St Far Rockaway NY 11691-4420 HMO Medicare Advantage 1952464950 3 Splitrock Nursing Home 3525 Baychester Ave Bronx NY 10466-5001 Medicaid Medicare Advantage 1861458036 3 Achieve Rehabilitation and Nursing 170 Lake St Liberty NY 12754-1966 HMO Medicare Advantage 1841613163 3 King David Center for Nursing and Rehabilitation 2266 Cropsey Ave Brooklyn NY 11214-5706 Essential HMO Medicare Advantage 1669417978 3 Mayfair Care Center 100 Baldwin Rd Hempstead NY 11550-6844 HARP Medicare Advantage 1710065982 3 White Plains Center for Nursing 220 W Post Rd White Plains NY 10606-2914 Medicare Advantage 1508893025 3 Beach Terrace Care Center 640 W Broadway Long Beach NY 11561-2900 HMO Medicare Advantage 1770939936 3 Ross Center for Nursing and Rehabilitation 839 Suffolk Ave Brentwood NY 11717-4403 Medicare Advantage 1518485952 3 The Hamlet Rehabilitation and Healthcare Center at Nesconset 100 S Blvd Nesconset NY 11767-1767 Medicare Advantage 1548620677 3 Harlem Center For Nursing and Rehabilitation 30 W 138th St New York NY 10037- Medicaid Medicare Advantage 1326117045 3 Park Terrace Care Center 5920 Van Doren St Corona NY 11368-4018 Medicaid Medicare Advantage 1255334082 3 Grace Plaza of Great Neck 15 Saint Pauls Pl Great Neck NY 11021-2636 Medicare Advantage 1629420187 3 The Emerald Peek Rehabilitation and Nursing Center 2000 Main St Peekskill NY 10566-6816 Medicare Advantage 1396807244 3 Suffolk Center for Rehabilitation and Nursing 25 Schoenfeld Blvd Patchogue NY 11772-2982 Medicare Advantage 1902974058 3 Eastchester Nursing Home 2700 Eastchester Rd Bronx NY 10469-5923 HIP EPO Medicare Advantage 1932264249 3 Brandywine Nursing Home 620 Sleepy Hollow Rd Briarcliff Manor NY 10510-2516 Medicare Advantage

Provider NPI Star Rating SNF NAME Address City State Zip Code Network Product 1841262904 3 Lawrence Nursing Home 350 Beach 54th St Arverne NY 11692-1782 Medicaid 1952383291 3 South Point Plaza Nursing 1 Long Beach Rd Island Park Ny 11558-2254 HARP Medicaid This information was compiled on 11/08/2021 and is subject to change based on ratings provided by CMS and the addition and subtraction of facility contracts with EmblemHealth. Providers may contact Customer Service at 866-447-9717 and Members may contact Customer Service at 800-447-8255 (TTY 711) to question the participation status of a facility. You may also use the Find-a-Doctor feature, found on our website at: www.emblemhealth.com/find-a-doctor.

EmblemHealth Plan, Inc., EmblemHealth Insurance Company, EmblemHealth Services Company, LLC and Health Insurance Plan of Greater New York (HIP) are EmblemHealth companies. EmblemHealth Services Company, LLC provides administrative services to the EmblemHealth companies. EMBPRBRO56567Skilled Nursing Facility Quality Guide 12/21 55 Water Street, New York, NY 10041-8190 | emblemhealth.com

Skilled Nursing Facility (SNF) Your Guide to Choosing the Right Facility

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