Organization Active NPI

Buena Vida Corp

  • Skilled Nursing Facility
  • Brooklyn, NY
National Provider Identifier
1508861675
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7001383N Issued in NY
Legal business name
BUENA VIDA CORP
Practice address
48 Cedar St
Brooklyn, NY 11221-3253
Phone
(718) 455-6200
Fax
(718) 452-7681
NPI assigned
Jun 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Authorized official

Name
Sonia Rivera
Title
Director
Phone
(718) 484-0863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 7001383N NY Primary

Addresses

Primary practice location

48 Cedar St
Brooklyn, NY 11221-3253

Mailing address

48 Cedar St
Brooklyn, NY 11221-3253
Phone (718) 455-6200

Other identifiers 1

IdentifierTypeStateIssuer
02144049MedicaidNY

Other names 1

  • Buena Vida Continuing Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0983159Buena Vida Continuing Care & Rehab Center48 Cedar Street, Brooklyn, NY 11221Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1508861675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 CEDAR ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112213253",
            "telephone_number": "718-455-6200",
            "fax_number": "718-452-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 CEDAR ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112213253",
            "telephone_number": "718-455-6200",
            "fax_number": "718-452-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VIDA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-484-0863"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7001383N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02144049",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buena Vida Continuing Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.