Servants of Relief for Incurable Cancer

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

7002307N Issued in NY

Legal business name

SERVANTS OF RELIEF FOR INCURABLE CANCER

Practice address

71 Jackson St
New York, NY 10002-8201

Phone

(212) 677-8132

Fax

(212) 982-3485

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Sr. Mary Florence Gilmore, R.N.

Title

Vice-President

Phone

(212) 677-8132

Specialties & licenses 1

Addresses

Other names 1

• St. Rose's Home Doing business as

Locations

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053523027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 JACKSON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100028201",
            "telephone_number": "212-677-8132",
            "fax_number": "212-982-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 JACKSON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100028201",
            "telephone_number": "212-677-8132",
            "fax_number": "212-982-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVANTS OF RELIEF FOR INCURABLE CANCER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "SR. MARY",
        "authorized_official_middle_name": "FLORENCE",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "212-677-8132",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7002307N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Rose's Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Serur, LCSW
• Ashley M Seruya, LCSW
• Barbara Betty Seruya, PH.D.
• Isaac Seruya
• Eli Robert Servais
• Serve the Elderly Inc
• Dominick Servedio, AUDIOLOGY PC
• Susan Servetnick, PT
• Service Program for Older People
• Service Program for Older People, Inc

• Skilled Nursing Facility in New York, NY
• Providers in New York, 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 22, 2020; 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.