PROVIDENCE REST ADULT DAY HEALTH CARE (NPI# 1063597631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063597631 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE REST ADULT DAY HEALTH CARE |
| Practice Address |
3304 Waterbury Ave Bronx NY 10465-1554 |
| Practice Telephone | 7189313000 |
| Practice Fax Number | 7189312839 |
| Mailing Telephone | 7189313000 |
| Mailing Fax Number | 7189312839 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SANDRA RIVERA (CFO) |
| Authorized Official Telephone | 7189313000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
7000306N | NY | Ambulatory Health Care Facilities |
| Street Address |
3304 WATERBURY AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10465-1554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063411262 | Providence Rest | Respite Care | 3304 Waterbury Ave, Bronx, NY 10465-1554 | 2005-07-19 |
| 1730794942 | Walter A Bryant Jr. | Occupational Therapist | 3304 Waterbury Ave, Bronx, NY 10465-1554 | 2020-09-14 |
| 1891328407 | Chiffina Robinson | Occupational Therapist | 3304 Waterbury Ave, Bronx, NY 10465-1554 | 2020-02-21 |
| 1477105724 | Adrianna Nicole Manzella | Speech-Language Pathologist | 3304 Waterbury Ave, Bronx, NY 10465-1554 | 2019-07-16 |
| 1588106645 | Stanley Jean | Respiratory Therapist, Registered | 3304 Waterbury Ave, Bronx, NY 10465-1554 | 2016-11-07 |
| 1679855241 | Jane Demonteverde | Physical Therapist | 3304 Waterbury Ave, Bronx, NY 10465-1554 | 2011-09-09 |
| 1689817157 | Michelle Cherry Tolentino | Physical Therapist | 3304 Waterbury Ave, Bronx, NY 10465-1554 | 2009-04-14 |
| 1871754861 | Providence Rest Outpatient Rehabilitation | Skilled Nursing Facility | 3304 Waterbury Ave, Bronx, NY 10465-1554 | 2008-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639648272 | Kenya Walters | Registered Nurse | 2761 Sampson Ave #2b, Bronx, NY 10465 | 2018-11-13 |
| 1619487873 | Samantha Salaman | Registered Nurse | 233 Graff Ave, Bronx, NY 10465 | 2017-10-02 |
| 1689199424 | Hermany Limo Transportation LLC | Non-emergency Medical Transport (VAN) | 3432-b2 East Tremont Ave, Bronx, NY 10465 | 2017-08-12 |
| 1588199046 | Yvanesa Garcia | Assistant Behavior Analyst | 351 Huntington Avenue, Bronx, NY 10465 | 2017-04-21 |
| 1104274653 | Vanessa Morales | Occupational Therapy Assistant | 3155 Miles Avenue, 1st Floor, Bronx, NY 10465 | 2016-05-25 |
| 1083060065 | Natasha Sustache | Registered Nurse | 3156a Miles Ave, Bronx, NY 10465 | 2016-05-10 |
| 1275905994 | Reagan Obiozor Anusionwu Np Psychiatry Pllc | Nurse Practitioner | 548 Throgs Neck Expwy, Bronx, NY 10465 | 2015-10-21 |
| 1386014363 | Ann Marie Gilligan | Speech-Language Pathologist | 3942 E.tremont Ave, Bronx, NY 10465 | 2015-10-02 |
| 1689075301 | Sean Kearns | Dentist | 3651 E Tremont Ave, Bronx, NY 10465 | 2014-09-12 |
| 1578975827 | Core Essentials Medical P.C. | General Practice | 3630 East Tremont Ave, Bronx, NY 10465 | 2014-05-21 |
| Find all providers in zip 10465 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790317824 | Boston Road Care LLC | Clinic/Center | 1698 Boston Rd, Bronx, NY 10460-4948 | 2020-02-06 |
| 1902444375 | Melrose Place Adult Daycare Inc | Clinic/Center | 655 Morris Ave Ste 1, Bronx, NY 10451-4898 | 2019-12-17 |
| 1871130369 | Deshi Adult Day Care Center Inc | Clinic/Center | 1871a Archer St, Bronx, NY 10460-6207 | 2019-12-04 |
| 1801457080 | Family Adult Day Care, Inc. | Clinic/Center | 2332 Hoffman Street, 2nd & 3rd Floor, Bronx, NY 10458 | 2019-06-27 |
| 1134699275 | Resurgency Shelters Inc | Clinic/Center | 1074 Prospect Ave, Bronx, NY 10459-2714 | 2018-12-02 |
| 1306323084 | Uhc Adult Day Program & Transport Services Inc | Clinic/Center | 1490 Crotona Parkway East, Bronx, NY 10460 | 2018-07-25 |
| 1255820288 | Oakmont Social Adult Day Care LLC | Clinic/Center | 726 Southern Blvd, Bronx, NY 10455-2106 | 2018-05-04 |
| 1750881041 | Tender Hearts Social Care | Clinic/Center | 1343 Webster Ave, Bronx, NY 10456-1805 | 2018-02-14 |
| 1376094763 | Nanoom Adult Day Care, Inc. | Clinic/Center | 3119 Webster Ave, Bronx, NY 10467-4905 | 2016-10-20 |
| 1922463827 | The Rainbow Adult Day Care LLC | Clinic/Center | 2011 Westchester Ave, Bronx, NY 10462-4507 | 2015-12-18 |
| 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.