Organization Active NPI

Adult Day Health Care Program

  • Skilled Nursing Facility
  • New Rochelle, NY
National Provider Identifier
1174858120
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5904314N Issued in NY
Legal business name
ADULT DAY HEALTH CARE PROGRAM
Practice address
16 Guion PL
New Rochelle, NY 10801-5502
Phone
(914) 365-3501
Fax
(914) 632-4938
NPI assigned
Oct 8, 2009
Organization subpart
Yes
Parent organization
HELEN AND MICHAEL SCHAFFER EXTENDED CARE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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

Authorized official

Name
Mr. Robert E Connolly
Title
Assistant Vice President of Finance
Phone
(914) 365-3501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5904314N NY Primary

Addresses

Primary practice location

16 Guion PL
New Rochelle, NY 10801-5502

Mailing address

16 Guion PL
New Rochelle, NY 10801-5502
Phone (914) 365-3501

Other identifiers 1

IdentifierTypeStateIssuer
01719382MedicaidNY

National Provider Directory

National Provider Directory
Part of
Adult Day Health Care Program

NPI Registry JSON

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1174858120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GUION PL",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015502",
            "telephone_number": "914-365-3501",
            "fax_number": "914-632-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GUION PL",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015502",
            "telephone_number": "914-365-3501",
            "fax_number": "914-632-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT DAY HEALTH CARE PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HELEN AND MICHAEL SCHAFFER EXTENDED CARE CENTER",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ASSISTANT VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "914-365-3501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5904314N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01719382",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.