BRONX HARBOR HEALTH CARE COMPLEX, INC. (NPI# 1952395626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952395626 |
| Entity Type | Organization |
| Organization Name | BRONX HARBOR HEALTH CARE COMPLEX, INC. |
| Other Organization Name | KINGS HARBOR MULTICARE CENTER |
| Practice Address |
2000 E Gun Hill Rd Bronx NY 10469-6016 |
| Practice Telephone | 7183200400 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2014-07-23 |
| Authorized Official Name | MR. ALEX STERN (ADMINISTRATOR) |
| Authorized Official Telephone | 7183200400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 7000372N | NY | Allopathic & Osteopathic Physicians |
| N | 363L00000X | Nurse Practitioner | 7000372N | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 314000000X | Skilled Nursing Facility | 7000372N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00310292 | 05 |
| Other Name | Type Code |
|---|---|
| Kings Harbor Multicare Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BRONX HARBOR HEALTH CARE COMPLEX, INC. | 2000 E Gun Hill Rd, Bronx, Ny 104696016 |
| Street Address |
2000 E GUN HILL RD |
| City | BRONX |
| State | NY |
| Zip Code | 10469-6016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215451836 | Nelly Echevarria | Licensed Practical Nurse | 2000 E Gun Hill Rd, Bronx, NY 10469-6016 | 2017-07-26 |
| 1063821544 | Filomena L Gamez | Speech-Language Pathologist | 2000 E Gun Hill Rd, Bronx, NY 10469-6016 | 2014-08-08 |
| 1013210657 | Hilary Joy Rizzo | Nurse Practitioner | 2000 E Gun Hill Rd, Bronx, NY 10469-6016 | 2010-12-20 |
| 1588868301 | Marjan Aghaei | Physical Therapy Assistant | 2000 E Gun Hill Rd, Bronx, NY 10469-6016 | 2007-06-14 |
| 1174738066 | Aaron W Jordan | Physical Therapy Assistant | 2000 E Gun Hill Rd, Bronx, NY 10469-6016 | 2007-05-14 |
| 1821194655 | Louis Allan Kaplan | Physician Assistant | 2000 E Gun Hill Rd, Bronx, NY 10469-6016 | 2006-09-16 |
| 1962514034 | Roy Jeffrey Goldberg | Internal Medicine | 2000 E Gun Hill Rd, Bronx, NY 10469-6016 | 2006-08-31 |
| 1134239692 | Roy J. Goldberg, Md, PC | Internal Medicine | 2000 E Gun Hill Rd, Bronx, NY 10469-6016 | 2006-08-30 |
| 1861424533 | Gary Florio | Legal Medicine | 2000 E Gun Hill Rd, Bronx, NY 10469-6016 | 2006-07-06 |
| 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 |
| 1437705720 | Wafaa Khoury | Behavioral Analyst | Important Steps,inc, 2447 Eastchester Road, Bronx, NY 10469 | 2019-08-13 |
| 1033775432 | Sally Mendoza | Licensed Practical Nurse | 2506 Woodhul Ave, Bronx, NY 10469 | 2019-05-13 |
| 1215495221 | Fasilat Ibrahim | Registered Nurse | 1117 Adee St, Bronx, NY 10469 | 2019-03-08 |
| 1467922096 | Patience Marku Kitcher | Registered Nurse | 954 East 211 Street, Bronx, NY 10469 | 2018-11-27 |
| 1316422546 | Leon Anibal Guzman | Registered Nurse | 3230 Paulding Ave 1fl, New York, NY 10469 | 2018-10-03 |
| 1205328358 | Yesenia A. Arias | Case Manager/Care Coordinator | 1501 Astor Ave., Suite 1a, Bronx, NY 10469 | 2018-06-05 |
| 1720578719 | Kimberly Carrion Alicea | Psychologist | 2323 Eastchester Rd #27, Bronx, NY 10469 | 2018-05-15 |
| 1235627993 | Kayon Donaldson | Nurse Practitioner | 2904 Yates Ave, Bronx, NY 10469 | 2018-04-27 |
| 1699280404 | Joyce Wallace | Specialist | 2825-2 Ely Avenue, Bronx, NY 10469 | 2017-12-04 |
| Find all providers in zip 10469 | ||||
| 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.