Palisade Nursing Home Co Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

7000347N Issued in NY

Legal business name

PALISADE NURSING HOME CO INC.

Practice address

5901 Palisade Ave
Bronx, NY 10471-1205

Phone

(718) 581-1310

Fax

(718) 796-7534

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Carl Willner

Title

Vice President, Finance

Phone

(718) 581-1313

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1013026863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 PALISADE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711205",
            "telephone_number": "718-581-1310",
            "fax_number": "718-796-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 PALISADE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711205",
            "telephone_number": "718-581-1310",
            "fax_number": "718-796-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALISADE NURSING HOME CO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "WILLNER",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "VICE PRESIDENT, FINANCE",
        "authorized_official_telephone_number": "718-581-1313"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7000347N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00309164",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "33-5629",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lidija Palezac
• Ilana Palgi, PSY.D.
• Yael Sarah Palgon, RN
• Besnik Pali
• Rozafa L Pali, MD
• Esma Paljevic, PNP
• Palladia Inc (Comprehensive Treatment Institute of Bronx)
• Palladia Incorporated
• Palliative Care Consulting Services LLC
• Francis Mathai Palluppetta, MSW

• Skilled Nursing Facility in Bronx, NY
• Providers in Bronx, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.