Organization Active NPI

The Eliot at New Rochelle LLC

  • Assisted Living Facility
  • New Rochelle, NY
National Provider Identifier
1679245336
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
THE ELIOT AT NEW ROCHELLE LLC
Practice address
41 Lockwood Ave
New Rochelle, NY 10801-5023
Phone
(914) 576-1202
NPI assigned
Oct 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Authorized official

Name
Gregg Rosen
Title
Coo
Phone
(845) 363-8168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

41 Lockwood Ave
New Rochelle, NY 10801-5023

Mailing address

12 College Rd
Monsey, NY 10952-2821
Phone (845) 363-8168

Other identifiers 1

IdentifierTypeStateIssuer
0633311MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NewRochelle

National Provider Directory

National Provider Directory
Tax ID family
The Eliot at New Rochelle LLC2 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": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1679245336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 COLLEGE RD",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109522821",
            "telephone_number": "845-363-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 LOCKWOOD AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015023",
            "telephone_number": "914-576-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ELIOT AT NEW ROCHELLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "845-363-8168"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0633311",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NewRochelle",
            "affiliation": "N",
            "address_1": "41 Lockwood Ave",
            "city": "New Rochelle",
            "state": "NY",
            "country_code": "US",
            "postal_code": "108015023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.