Organization Active NPI

White Plains Nursing Home, Inc.

  • Skilled Nursing Facility
  • Bronx, NY
National Provider Identifier
1003988619
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7000380N Issued in NY
Legal business name
WHITE PLAINS NURSING HOME, INC.
Doing business as
bronx park rehabilitation & nursing center
Practice address
3845 Carpenter Ave
Bronx, NY 10467-5204
Phone
(718) 798-1100
Fax
(718) 882-5530
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gregg Seidner
Title
Cfo
Phone
(718) 798-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 7000380N NY Primary

Addresses

Primary practice location

3845 Carpenter Ave
Bronx, NY 10467-5204

Mailing address

3845 Carpenter Ave
Bronx, NY 10467-5204
Phone (718) 798-1100

Other identifiers 1

IdentifierTypeStateIssuer
00309628MedicaidNY

Other names 1

  • bronx park rehabilitation & nursing center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031008000013 NY Part A Provider - Skilled Nursing Facility 0648182626 Practice locations: Bronx, NY

Skilled nursing facility certification: CCN 335358

Legal name
WHITE PLAINS NURSING HOME INC
Doing business as
BRONX PARK REHABILITATION AND NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 27, 1972
Last certification
Sep 23, 2024
Beds
240
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Enrollment address
3845 Carpenter Ave
Bronx, NY 10467-5204
Nursing home name
BRONX PARK REHABILITATION & NURSING CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bronx Park Rehabilitation & Nursing CenterCCN 335358 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 27, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
240233.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2216957Bronx Park Rehabilitation and Nursing Center3845 Carpenter Ave, Bronx, NY 10467Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Miriam Loren Individual 5% Or Greater Direct Ownership InterestChief Financial Officer Jul 14, 2025 100%
Corporate OfficerChairman of the Board Jul 14, 2025 100%
Steven L. Freifeld Individual Corporate OfficerAdministrator Aug 11, 2021
Operational/Managerial Control Aug 11, 2011
Adp of the SNF Aug 11, 2011
Jonathan Chang Individual Operational/Managerial Control Jan 16, 2022
Adp of the SNF Dec 16, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1003988619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 CARPENTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104675204",
            "telephone_number": "718-798-1100",
            "fax_number": "718-882-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 CARPENTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104675204",
            "telephone_number": "718-798-1100",
            "fax_number": "718-882-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE PLAINS NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "SEIDNER",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-798-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7000380N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00309628",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "bronx park rehabilitation & nursing center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.