Daughters of Jacob Nursing Home Company, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DAUGHTERS OF JACOB NURSING HOME COMPANY, INC.

Practice address

1160 Teller Ave
Bronx, NY 10456-4145

Phone

(718) 293-1500

NPI assigned

Apr 10, 2015

Organization subpart

No

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

Authorized official

Name

Kenneth Rozenberg

Title

Ceo

Phone

(718) 931-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DOJ Assisted Living Program Inc. Doing business as

Tax ID family

Daughters of Jacob Adult Day Care Program2 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.

• Daughters of Jacob Adult Day Care Program

  • Adult Day Care Clinic/Center
  • Bronx, NY
  • NPI 1699811166
  NPD tax ID

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1144616632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701104",
            "telephone_number": "718-931-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 TELLER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104564145",
            "telephone_number": "718-293-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAUGHTERS OF JACOB NURSING HOME COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "ROZENBERG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-931-9700"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04117277",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOJ Assisted Living Program Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DOJ Assisted Living Program Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leonard Gene Dauber, MD
• Marcus Vincent Daugherty, M.A., LMHC
• Daughters of Jacob Adult Day Care Program
• Daughters of Jacob Dialysis Center Corp
• Daughters of Jacob Nursing Home Co
• Herbert Frederick Daughtry, LMSW
• Rupal Daulat, DPT
• Jean-Robert Dautruche, LPN
• Swati Dave-Sharma, M.D.
• Kartikeya P Dave, M.D.

• Assisted Living Facility in Bronx, NY
• Providers in Bronx, NY by specialty
• Assisted Living Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.