1063411262 PROVIDENCE REST

Skilled Nursing Facility

Active

Basic Information

Organization Name
PROVIDENCE REST
Enumeration Date
July 19, 2005
Last Update
July 8, 2015
Authorized Official
MS. SUSAN M STEINBERG LNHA
ADMINISTRATOR
Phone: (718) 931-3000

Practice Location

Address
3304 WATERBURY AVE
BRONX, NY 104651554
Phone
(718) 931-3000
Fax
(718) 514-8447

Mailing Address

Address
3304 WATERBURY AVE
BRONX, NY 104651554
Phone
(718) 931-3000
Fax
(718) 514-8447

Specialties & Taxonomies

Specialty Code Classification License State Primary
Respite Care
385H00000X Respite Care 7000306N NY No
Skilled Nursing Facility
314000000X Skilled Nursing Facility 7000306N NY Primary

Other Identifiers

Identifier Type State Issuer
1216 01 NY FACILITY
007381 01 NY BLUE CROSS/ BLUE SHIELD
00309357 05 NY N/A
01133297 05 NY N/A

Frequently Asked Questions

What is PROVIDENCE REST's NPI number?
PROVIDENCE REST's NPI number is 1063411262.
Which doctor has NPI number 1063411262?
The doctor with NPI number 1063411262 is PROVIDENCE REST.
What is PROVIDENCE REST's practice address?
PROVIDENCE REST's practice address is 3304 WATERBURY AVE, BRONX, NY, 104651554.
Which doctor practices at 3304 WATERBURY AVE, BRONX, NY, 104651554?
PROVIDENCE REST practices at 3304 WATERBURY AVE, BRONX, NY, 104651554.
What is PROVIDENCE REST's phone number?
PROVIDENCE REST's phone number is (718) 931-3000.
Who is (718) 931-3000?
(718) 931-3000 is the phone number for PROVIDENCE REST.
What is PROVIDENCE REST's specialty?
PROVIDENCE REST's specialty is Skilled Nursing Facility.
What type of doctor is PROVIDENCE REST?
PROVIDENCE REST is a Skilled Nursing Facility.
Is PROVIDENCE REST a Skilled Nursing Facility?
Yes, PROVIDENCE REST is a Skilled Nursing Facility.
Is PROVIDENCE REST still practicing?
Yes, PROVIDENCE REST is currently practicing.
Is PROVIDENCE REST accepting new patients?
PROVIDENCE REST may be accepting new patients. Please call their office at (718) 931-3000 to inquire about availability.
Is NPI 1063411262 still active?
Yes, NPI 1063411262 is currently active.
Where does PROVIDENCE REST practice?
PROVIDENCE REST practices in BRONX, NY.