NPIMap

Organization Active NPI

St. Patrick'S Home for the Aged and Infirm

  • Skilled Nursing Facility
  • Bronx, NY
National Provider Identifier
1568435402
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
03A1313 Issued in NY
Legal business name
ST. PATRICK'S HOME FOR THE AGED AND INFIRM
Practice address
66 Van Cortlandt Park S
Bronx, NY 10463-3102
Phone
(718) 519-2800
NPI assigned
Feb 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sister Patrick Micheal O'Carm, ADMINISTRATOR
Title
Administrator
Phone
(718) 519-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 03A1313 NY Primary

Addresses

Primary practice location

66 Van Cortlandt Park S
Bronx, NY 10463-3102

Mailing address

66 Van Cortlandt Park S
Bronx, NY 10463-3102
Phone (718) 519-2800

Other identifiers 1

IdentifierTypeStateIssuer
00309384MedicaidNY

Other names 1

  • St. Patrick's Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110725000258 NY Part A Provider - Skilled Nursing Facility 5799953477 Practice locations: Bronx, NY

Skilled nursing facility certification: CCN 335011

Legal name
ST. PATRICK'S HOME FOR THE AGED AND INFIRM
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Feb 15, 2024
Beds
264
Ownership / control type
Church Related
Organization structure
CorporationNon-profit
Incorporated
Nov 11, 1965 in NY
Enrollment address
66 Van Cortlandt Park S
Bronx, NY 10463-3102
Nursing home name
ST PATRICK'S HOME
Affiliated entity
CARMELITE SISTERS FOR THE AGED & INFIRM

Care Compare: Nursing home

Medicare Care Compare
Listed as
St Patrick's HomeCCN 335011
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
264255.7 residents per day on average
Chain
Carmelite Sisters for the Aged & Infirm9 facilities in the chain
Penalties (3 years)
1Fines totaling $51,500

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

66 Van Cortlandt Park S
#3102
Bronx, NY 10463

66 Van Cortlandt Park S
Bronx, NY 10463
Phone (718) 304-1812

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Rose Kasper Individual Corporate Officer Sep 16, 2014
Maureen a Walsh Individual Corporate Officer Jun 1, 2005
Diane Mack Individual Corporate Officer Jan 8, 2018 25%
Juan C Ruiz Individual Corporate Director Nov 1, 1997
W-2 Managing Employee Nov 1, 1997
Mary Devlin Individual Corporate Officer Jun 1, 2015
Michael a Moriarty Individual Corporate Officer Jun 1, 1997
Steven E Gallotta Individual Corporate Officer Jun 6, 2016
Kristen Klump Individual W-2 Managing Employee Jul 15, 2020
Raphael Lehmann Individual Corporate Director Nov 1, 2022
W-2 Managing Employee Nov 1, 2022
Elizabeth a Dunleavy Individual Corporate Director Jan 1, 2009
Mary Clare Heery Individual Corporate Officer Dec 15, 2014
Diane Randall Individual Corporate Officer Sep 1, 2008
Patricia Lynch Individual Corporate Officer Jan 8, 2018 25%
Corporate Director Jan 1, 2009
W-2 Managing Employee Jan 1, 2009
Mary B Bowden Individual Corporate Officer Sep 1, 1987
Judith Naderhoff Individual W-2 Managing Employee Jul 15, 2020
Patricia M Rawdon Individual Corporate Officer Jan 1, 2009
Edward JT Kenney Individual Corporate Officer Jun 1, 2015

Practitioners & affiliated clinicians

Practitioners 7

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

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568435402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 VAN CORTLANDT PARK S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633102",
            "telephone_number": "718-519-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 VAN CORTLANDT PARK S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633102",
            "telephone_number": "718-519-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PATRICK'S HOME FOR THE AGED AND INFIRM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'CARM",
        "authorized_official_first_name": "SISTER PATRICK",
        "authorized_official_middle_name": "MICHEAL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-519-2800",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "03A1313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00309384",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Patrick's Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.