Organization Active NPI

Victoria Home

  • Skilled Nursing Facility
  • Ossining, NY
National Provider Identifier
1346230463
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5905305N Issued in NY
Legal business name
VICTORIA HOME
Practice address
25 N Malcolm St
Ossining, NY 10562-3216
Phone
(914) 941-2450
Fax
(914) 941-2531
NPI assigned
Oct 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Authorized official

Name
Mrs. Phyllis A Bianco, CNHA
Title
Executive Director
Phone
(914) 941-2450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5905305N NY Primary

Addresses

Primary practice location

25 N Malcolm St
Ossining, NY 10562-3216

Mailing address

25 N Malcolm St
Ossining, NY 10562-3216
Phone (914) 941-2450

Other identifiers 1

IdentifierTypeStateIssuer
00310123MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1346230463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N MALCOLM ST",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105623216",
            "telephone_number": "914-941-2450",
            "fax_number": "914-941-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N MALCOLM ST",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105623216",
            "telephone_number": "914-941-2450",
            "fax_number": "914-941-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "BIANCO",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "914-941-2450",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5905305N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00310123",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ossining, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.