Jewish Home Lifecare Harry and Jeanette Weinberg Campus Bronx

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

7000902L Issued in NY

Legal business name

JEWISH HOME LIFECARE HARRY AND JEANETTE WEINBERG CAMPUS BRONX

Practice address

2545 University Ave
Attn Bronx Lthhcp
Bronx, NY 10468-4066

Phone

(718) 367-1125

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Audrey Weiner, DSW

Title

Ceo

Phone

(212) 870-4600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JHH LifeCare Community Services-Bronx LTHHCP Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063586766. Details of each certification follow.

• CCN 337185 Home health agency · Terminated · Details

Home health agency certification: CCN 337185

Legal name

JEWISH HOME LIFECARE HARRY AND JEANETTE WEINBERG CAMPUS BRONX

Doing business as

JHH LIFE CARE COMMUNITY SERVICES, BRONX LTHHCP

Certification status

Terminated Voluntary: other reason for withdrawal, Apr 15, 2016

Provider type (POS)

Home health agency

Participating since

May 11, 1982

Last certification

Jul 28, 2014

Ownership / control type

Non-Profit

Organization structure

CorporationNon-profit

Incorporated

Oct 8, 1968 in NY

Enrollment address

2900 Exterior St
Bronx, NY 10463-7103

Locations

All disclosed owners & managing parties 13

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

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1063586766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 UNIVERSITY AVE",
            "address_2": "ATTN BRONX LTHHCP",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104684066",
            "telephone_number": "718-367-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 UNIVERSITY AVE",
            "address_2": "ATTN BRONX LTHHCP",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104684066",
            "telephone_number": "718-367-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH HOME LIFECARE HARRY AND JEANETTE WEINBERG CAMPUS BRONX",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-870-4600",
        "authorized_official_credential": "DSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "7000902L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00708214",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JHH LifeCare Community Services-Bronx LTHHCP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nadia Jeune
• Jewish Association for Services for the Aged (Jasa)
• Jewish Association for Services for the Aged
• Jewish Board of Family and Children Services
• Jewish Home Lifecare Community Services (The New Jewish Home, Home Care)
• Jewish Home Lifecare Harry and Jeanette Weinberg Campus Bronx
• Jewish Home Lifecare Harry and Jeanette Weinberg Campus Bronx (The New Jewish Home, Harry and Jeanette Weinberg Campus)
• Jewish Home Lifecare, Community Services
• Jewish Home Lifecare, Harry & Jeanette Weinberg Campus, Bron (Jewish Home Lifecare -Bronx (pharmacy))
• Jewish Home Lifecare, Manhattan

• Home Health Agency in Bronx, NY
• Providers in Bronx, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.