Active NPI
Judith Lynn Home for Adults, LLC
- Assisted Living Facility
- Bronx, NY
National Provider Identifier
1467722017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 020-F-817
- Legal business name
- JUDITH LYNN HOME FOR ADULTS, LLC
- Practice address
- 1800 Waring Ave
Bronx, NY 10469-6331 - Phone
- (718) 379-4400
- NPI assigned
- Jan 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Raphael Weiss
- Title
- Cfo, Manager
- Phone
- (516) 334-3838
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 020-F-817 | NY | Primary |
Addresses
Primary practice location
1800 Waring Ave
Bronx, NY 10469-6331
Mailing address
1800 Waring Ave
Bronx, NY 10469-6331
Phone (718) 379-4400
Other names 1
- Amber Court of Pelham Gardens
National Provider Directory
National Provider Directory- Tax ID family
- Amber Court of Pelham Gardens
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Private Vehicle
- Bronx, NY
- NPI 1013063684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326326400000",
"number": "1467722017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 WARING AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104696331",
"telephone_number": "718-379-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 WARING AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104696331",
"telephone_number": "718-379-4400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUDITH LYNN HOME FOR ADULTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-12",
"last_updated": "2012-01-12",
"status": "A",
"authorized_official_last_name": "WEISS",
"authorized_official_first_name": "RAPHAEL",
"authorized_official_title_or_position": "CFO, MANAGER",
"authorized_official_telephone_number": "516-334-3838",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NY",
"license": "020-F-817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Amber Court of Pelham Gardens",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.