NPIMap

Organization Active NPI

Kingsbridge Heights Care Ctr Inc.

  • Skilled Nursing Facility
  • Bronx, NY
National Provider Identifier
1104968189
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7000374N Issued in NY
Legal business name
KINGSBRIDGE HEIGHTS CARE CTR INC.
Practice address
3400 Cannon PL.
Bronx, NY 10463
Phone
(718) 796-8100
Fax
(718) 796-8182
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Authorized official

Name
Bruce Zarett, LNHA
Title
Administrator
Phone
(718) 796-8100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 149631-1 NY
Skilled Nursing Facility 314000000X 7000374N NY Primary

Addresses

Primary practice location

3400 Cannon PL.
Bronx, NY 10463

Mailing address

3400 Cannon PL.
Bronx, NY 10463
Phone (718) 796-8100

Other identifiers 1

IdentifierTypeStateIssuer
00309742MedicaidNY

Other names 1

  • Kingsbridge Heights Rehabilitation and Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Citadel Rehab Nursing Center Kingsbrid2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1104968189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CANNON PL.",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10463",
            "telephone_number": "718-796-8100",
            "fax_number": "718-796-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CANNON PL.",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10463",
            "telephone_number": "718-796-8100",
            "fax_number": "718-796-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSBRIDGE HEIGHTS CARE CTR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "ZARETT",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-796-8100",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "149631-1",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7000374N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00309742",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingsbridge Heights Rehabilitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.