Organization Active NPI

Judith Lynn Home for Adults, LLC

  • Assisted Living Facility
  • Bronx, NY
National Provider Identifier
1467722017
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
020-F-817 Issued in NY
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

Updated by the provider on Jan 12, 2012

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amber Court of Pelham Gardens2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "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.

Verify at the official NPI Registry.