Episcopal Health Services Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

7003356N Issued in NY

Legal business name

EPISCOPAL HEALTH SERVICES INC

Doing business as

Bishop Waldo McLean Nursing Home

Practice address

1711 Brookhaven Ave
Far Rockaway, NY 11691-4406

Phone

(718) 869-7641

Fax

(718) 869-8507

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Cherian Palathra

Title

Corporate Controller

Phone

(516) 349-5227

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bishop Waldo McLean Nursing Home Doing business as

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1215006960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 BROOKHAVEN AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914406",
            "telephone_number": "718-869-7641",
            "fax_number": "718-869-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 BROOKHAVEN AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914406",
            "telephone_number": "718-869-7641",
            "fax_number": "718-869-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPISCOPAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "PALATHRA",
        "authorized_official_first_name": "CHERIAN",
        "authorized_official_title_or_position": "CORPORATE CONTROLLER",
        "authorized_official_telephone_number": "516-349-5227",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7003356N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00337242",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bishop Waldo McLean Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tanola Tamara Ennis, R.N.
• Joan Lois Entel, L.C.S.W.
• Lewis Eugene Entel, LCSW
• Ugochukwu Darlington Enyinnah, PRESIDENT
• Eom Management LLC
• Episcopal Health Services Inc
• Episcopal Health Services Inc
• Episcopal Health Services Inc
• Episcopal Health Services Inc
• Gitty Epstein

• Skilled Nursing Facility in Far Rockaway, NY
• Providers in Far Rockaway, 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 Nov 23, 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.