Organization Active NPI

Concourse Rehab & Nursing Ctr Inc.

  • Skilled Nursing Facility
  • Bronx, NY
National Provider Identifier
1467457002
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7000375N Issued in NY
Legal business name
CONCOURSE REHAB & NURSING CTR INC.
Practice address
1072 Grand Concourse
Bronx, NY 10456-3901
Phone
(718) 681-4000
Fax
(718) 764-8860
NPI assigned
Jun 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Authorized official

Name
Mr. Solomon Neiman, CPA
Title
Controller
Phone
(718) 681-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 7000375N NY Primary

Addresses

Primary practice location

1072 Grand Concourse
Bronx, NY 10456-3901

Mailing address

1072 Grand Concourse
Bronx, NY 10456-3901
Phone (718) 681-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040727000289 NY Part A Provider - Skilled Nursing Facility 7214830454 Practice locations: Bronx, NY

Skilled nursing facility certification: CCN 335493

Legal name
CONCOURSE REHAB & NURSING CTR INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1976
Last certification
Apr 12, 2024
Beds
240
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Aug 30, 1995 in NY
Enrollment address
1072 Grand Concourse
Bronx, NY 10456-3901
Nursing home name
CONCOURSE REHABILITATION AND NURSING CENTER, INC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Concourse Rehabilitation and Nursing Center, IncCCN 335493
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
240238.6 residents per day on average
Penalties (3 years)
1Fines totaling $10,592

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Gracon Associates LLC Organization, Bronx, NY Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Apr 1, 1976 100%
Adp of the SNF Apr 1, 1976
Solomon Neiman Individual Corporate OfficerController, Cfo Jan 15, 2012
Corporate DirectorBoard Member Jan 15, 2012
Adp of the SNF Oct 1, 1995
Dov Lebovic Individual Operational/Managerial Control Aug 1, 2004
Adp of the SNF Aug 1, 2004
Marvin Neiman Individual 5% Or Greater Direct Ownership Interest Oct 1, 1995 100%
Corporate OfficerChairman of the Board Jan 27, 2004 100%
Operational/Managerial Control Oct 1, 1995
Adp of the SNF Oct 1, 1995
Elena L Vezza Individual Operational/Managerial Control Dec 1, 2019
Adp of the SNF Dec 1, 2019
Organization, Brooklyn, NY Adp of the SNF Jul 21, 2025
Organization, Bronx, NY LLC Adp of the SNF Jul 22, 2025
Organization, Brooklyn, NY Corporation Adp of the SNF Jul 21, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1467457002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563901",
            "telephone_number": "718-681-4000",
            "fax_number": "718-764-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563901",
            "telephone_number": "718-681-4000",
            "fax_number": "718-764-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCOURSE REHAB & NURSING CTR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "NEIMAN",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "718-681-4000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7000375N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.