Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clove Lakes Health Care and Rehabilitation Center, Inc

Organization Skilled Nursing Facility · NPI 1417952417

Clove Lakes Health Care and Rehabilitation Center, Inc is a Skilled Nursing Facility in Staten Island, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

25 Fanning St
Staten Island, NY 10314-5307
Phone: (718) 289-7900
Fax: (718) 289-7028
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 7004305N (NY)

Record details

NPI number1417952417
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lorri Scullin-Senk — Administrator · (718) 289-7890
NPI enumeratedJune 16, 2005
Last updated in NPPESJuly 22, 2014
Mailing address25 Fanning St, Staten Island, NY 10314-5307

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