ST VINCENT DE PAUL RESIDENCE (NPI# 1053390534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053390534 |
| Entity Type | Organization |
| Organization Name | ST VINCENT DE PAUL RESIDENCE |
| Practice Address |
900 Intervale Avenue Bronx NY 10459 |
| Mailing Address |
900 Intervale Ave Bronx NY 10459-4240 |
| Practice Telephone | 9176459201 |
| Practice Fax Number | 7185897010 |
| Mailing Telephone | 6466334774 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2008-03-21 |
| Authorized Official Name | ANNMARIE COVONE (SRVP CFO) |
| Authorized Official Telephone | 6466334702 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 7000366N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01367115 | 05 | |
| NY | 01446244 | 05 |
| Street Address |
900 INTERVALE AVENUE |
| City | BRONX |
| State | NY |
| Zip Code | 10459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508458 | Sterling Smiles LLC | Dentist | 1022 E163rd St, Bronx, NY 10459 | 2020-11-02 |
| 1710496633 | Vitus C. Ezerioha | Licensed Practical Nurse | 870 Southern Blvd., Apt 1a, Bronx, NY 10459 | 2017-09-22 |
| 1790208403 | Jessica S Lee | Early Intervention Provider Agency | 985 Intervale Ave Apt. 2c, Bronx, NY 10459 | 2017-07-25 |
| 1669901070 | Ruthlyn Merrick | Registered Nurse | 1466 Louis Nine Blvd, Bronx, NY 10459 | 2017-06-08 |
| 1154865681 | John Wahl | Speech-Language Pathologist | 977 Fox St., Is 217, Bronx, NY 10459 | 2016-12-19 |
| 1801349675 | Aneesa Ible | Social Worker | 953 Southern Blvd, Suite 301, Odyssey House Inc., Bronx, NY 10459 | 2016-07-28 |
| 1457711277 | Agboade Ademiju | Registered Nurse | 900 Intervale Ave, Archcare, Bronx, Bronx, NY 10459 | 2016-03-07 |
| 1952760076 | Apollo Radio Dispatcher | Taxi | 801 Freeman Street, Bronx, NY 10459 | 2016-02-17 |
| 1730547522 | Foxhurst Medical of New York LLC | Surgery | 947 Southern Blvd Ste B, Bronx, NY 10459 | 2016-02-08 |
| 1063892388 | Vismar Radio Dispatch Inc. | Taxi | 1040-52 Freeman St, Bronx, NY 10459 | 2015-06-02 |
| Find all providers in zip 10459 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
| 1124410733 | Hope Center Operations LLC | Skilled Nursing Facility | 1401 University Avenue, Bronx, NY 10452-4050 | 2015-02-19 |
| 1619371341 | Glenmore Wiggan | Skilled Nursing Facility | 3322 Lurting Ave, Bronx, NY 10469-3712 | 2014-10-09 |
| 1427488063 | Ibrahim | Skilled Nursing Facility | 1915 Morris Ave, Bronx, NY 10453-5920 | 2013-11-18 |
| 1053687467 | Board of Education(office of School Health) | Skilled Nursing Facility | 2225 Webster Ave Rm 309, (ms391), Bronx, NY 10457 | 2012-03-29 |
| 1740552611 | Rugal Enterprises LLC | Skilled Nursing Facility | 3843 Bailey Ave, Bronx, NY 10463-2503 | 2012-02-07 |
| 1871626218 | Michael M Tsung | Skilled Nursing Facility | 3200 Baychester Ave, Bronx, NY 10475-1513 | 2007-03-14 |
| 1578623179 | Riverdale Center for Nursing and Rehabilitation, LLC | Skilled Nursing Facility | 3220 Henry Hudson Parkway, Bronx, NY 10463-3211 | 2006-12-12 |
| 1902974058 | Eastchester Rehabilitation and Health Care Center LLC | Skilled Nursing Facility | 2700 Eastchester Rd, Bronx, NY 10469-5923 | 2006-11-30 |
| 1568535284 | Throgs Neck Operating Co LLC | Skilled Nursing Facility | 707 Throggs Neck Expy, Bronx, NY 10465-2319 | 2006-11-17 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.