NPIMap

Organization Active NPI

Jewish Home Lifecare, Manhattan

  • Adult Day Care Clinic/Center
  • Bronx, NY
National Provider Identifier
1467526160
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
7002340N Issued in NY
Legal business name
JEWISH HOME LIFECARE, MANHATTAN
Practice address
1200 Waters PL
Bronx, NY 10461-2728
Phone
(718) 410-1220
NPI assigned
Nov 17, 2006
Organization subpart
Yes
Parent organization
JEWISH HOME LIFECARE, MANHATTANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Dana Penny
Title
Chief Compliance Officer
Phone
(212) 870-4752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 7002340N NY Primary

Addresses

Primary practice location

1200 Waters PL
Bronx, NY 10461-2728

Mailing address

1200 Waters PL
Bronx, NY 10461-2728
Phone (718) 410-1220

Other identifiers 1

IdentifierTypeStateIssuer
00313942MedicaidNY

Other names 2

  • The New Jewish Home, Manhattan Doing business as
  • The New Jewish Home Adult Day Health Care Program, Bronx Other name

National Provider Directory

National Provider Directory
Tax ID family
Jewish Home Lifecare Manhattan8 organizations share this tax ID, including this one
Part of
Jewish Home Lifecare Manhattan

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1467526160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WATERS PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612728",
            "telephone_number": "718-410-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WATERS PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612728",
            "telephone_number": "718-410-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH HOME LIFECARE, MANHATTAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEWISH HOME LIFECARE, MANHATTAN",
        "enumeration_date": "2006-11-17",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "PENNY",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "212-870-4752"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": "7002340N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00313942",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The New Jewish Home, Manhattan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The New Jewish Home Adult Day Health Care Program, Bronx",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.