NPIMap

Organization Active NPI

Ygc at Woodycrest LLC

  • Skilled Nursing Facility
  • Bronx, NY
National Provider Identifier
1285150771
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
YGC AT WOODYCREST LLC
Doing business as
Highbridge Woodycrest Center
Practice address
936 Woodycrest Ave
Bronx, NY 10452-5503
Phone
(718) 579-8230
NPI assigned
Aug 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

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

Authorized official

Name
Leonardo Vicente
Title
Administrator
Phone
(646) 725-1383

Specialties & licenses 1

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

Addresses

Primary practice location

936 Woodycrest Ave
Bronx, NY 10452-5503

Mailing address

936 Woodycrest Ave
Bronx, NY 10452-5503

Other names 1

  • Highbridge Woodycrest Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170825001851 NY Part A Provider - Skilled Nursing Facility 4880966852 Practice locations: Bronx, NY

Skilled nursing facility certification: CCN 335751

Legal name
YGC AT WOODYCREST LLC
Doing business as
HIGHBRIDGE WOODYCREST CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 22, 1991
Last certification
Jul 16, 2024
Beds
90
Ownership / control type
Corporation
Most recent change of ownership
Aug 21, 2017
Organization structure
LLCProprietary
Incorporated
Mar 1, 2016 in NY
Enrollment address
936 Woodycrest Ave
Bronx, NY 10452-5503
Nursing home name
HIGHBRIDGE WOODYCREST CENTER
Affiliated entity
HIGHBRIDGE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Highbridge Woodycrest CenterCCN 335751 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 22, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9088.1 residents per day on average
Chain
Highbridge Healthcare6 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Debbie Egert Individual 5% Or Greater Direct Ownership Interest Mar 1, 2016 37.5%
Corporate OfficerManaging Member Mar 1, 2016 37.5%
Usher Egert Individual 5% Or Greater Direct Ownership Interest Mar 1, 2016 37.5%
Corporate OfficerManaging Member Mar 1, 2016 37.5%
Joel Paskes Individual 5% Or Greater Direct Ownership Interest Mar 1, 2016 20%
Corporate OfficerMember Mar 1, 2016 20%
Leonardo Vicente Individual 5% Or Greater Direct Ownership InterestAdministrator Mar 1, 2016 5%
Corporate OfficerAdministrator Mar 1, 2016 5%
W-2 Managing EmployeeAdministrator Mar 1, 2016 5%

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514246400000",
    "number": "1285150771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 WOODYCREST AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104525503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 WOODYCREST AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104525503",
            "telephone_number": "718-579-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YGC AT WOODYCREST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2017-12-26",
        "status": "A",
        "authorized_official_last_name": "VICENTE",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "646-725-1383"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highbridge Woodycrest Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Highbridge Woodycrest Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.