Providence Rest

LBN: Providence Rest
Providence Rest is an health care organization with primary practice located at 3304 Waterbury Ave , Bronx NY 10465-1554. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Respite Care Facility / Respite Care. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Providence Rest can be contacted via phone (718) 931-3000, or through Steinberg, Susan M via phone (718) 931-3000.

Contact Information

Primary practice address
3304 Waterbury Ave Bronx NY 10465-1554
Phone: (718) 931-3000
Fax: (718) 514-8447
Website:
Map and Directions
Authorized official contact:
Name: Steinberg, Susan M LNHA
Phone: (718) 931-3000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 7000306N New York
Respite Care Facility / Respite Care 385H00000X 7000306N New York

Profile Details

NPI number 1063411262
LBN Legal business name Providence Rest
DBA Doing business as
Authorized official Steinberg, Susan M LNHA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2005
Last updated Jul 8th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063411262 NPPES
New York Other 1216 FACILITY
New York Other 007381 FACILITY
New York MEDICAID 00309357 FACILITY
New York MEDICAID 01133297 FACILITY

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