Active NPIOrganization

Providence Rest

Skilled Nursing Facility in Bronx, New York

NPI Number1063411262
Practice location
3304 Waterbury Ave, Bronx, NY 10465-1554
Fax
718-514-8447
Last updated
July 8, 2015

Providence Rest is a healthcare organization based in Bronx, NY. Providence Rest practices in Bronx, NY. The NPI Number for Providence Rest is 1063411262 and holds a License No. 7000306N (NY). The current practice location address for Providence Rest is 3304 Waterbury Ave, Bronx, NY 10465-1554 and can be reached out via phone at 718-931-3000 and via fax at 718-514-8447.

Provider Profile Details

NPI Number
1063411262
Provider Name
Providence Rest
Provider Entity Type
Organization
Address
3304 Waterbury Ave, Bronx, NY 10465-1554
Phone Number
718-931-3000
Fax Number
718-514-8447
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Ms. Susan M Steinberg, LNHA · Administrator · 718-931-3000
Provider Enumeration Date
July 19, 2005
Last Update Date
July 8, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
3304 Waterbury Ave
Bronx, NY 10465-1554
City
Bronx
Zip
10465-1554
Phone Number
718-931-3000
Fax Number
718-514-8447
Bronx, NY 10465Get directions →

Provider Business Mailing Address Details

Address
3304 Waterbury Ave
Bronx, NY 10465-1554
City
Bronx
State
NY
Zip
10465-1554
Phone Number
718-931-3000
Fax Number
718-514-8447

License Information

License Number (1)
7000306N
License State (1)
NY
Taxonomy (1)
Respite Care · 385H00000X
License Number (2)
7000306N
License State (2)
NY
Taxonomy (2)
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Providence Rest?

The NPI number of Providence Rest is 1063411262. It was assigned on July 19, 2005 and is currently active in the NPPES registry.

What is the specialty of Providence Rest?

Providence Rest is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in NY under license number 7000306N.

Where does Providence Rest practice?

The practice location is 3304 Waterbury Ave, Bronx, NY 10465-1554. The office can be reached at 718-931-3000 (phone) or 718-514-8447 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063411262 directly on the NPPES registry website.

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