Ross Health Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5154320-N Issued in NY

Legal business name

ROSS HEALTH CARE CENTER, INC.

Practice address

839 Suffolk Avenue
Brentwood, NY 11717-4403

Phone

(631) 273-4700

Fax

(631) 273-9734

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Barry Bokow

Title

Cfo

Phone

(516) 705-4802

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ross Health Care Center Doing business as

Locations

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1346317484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 STAUDERMAN AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632524",
            "telephone_number": "516-705-4800",
            "fax_number": "516-887-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 SUFFOLK AVENUE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174403",
            "telephone_number": "631-273-4700",
            "fax_number": "631-273-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "BOKOW",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "516-705-4802"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5154320N",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5154320-N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01659287",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ross Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ropen Health Care Services Inc
• Pedro J Roque, MD
• Wilda Rosario
• Andrea Frasca Rosenstein, FNP-BC
• Ross Acquisition LLC
• Ross Opco LLC
• Alyse Rostas, MA, CCC-SLP
• Georgia Roumer
• Nancy Rousseau, LMSW
• Joseph Rubino, RPH

• Skilled Nursing Facility in Brentwood, NY
• Providers in Brentwood, 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 Oct 20, 2015; 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.