Organization Active NPI

United Nursing Home

  • Skilled Nursing Facility
  • New Rochelle, NY
National Provider Identifier
1679527022
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5904315N Issued in NY
Legal business name
UNITED NURSING HOME
Practice address
60 Willow Dr
New Rochelle, NY 10805-2307
Phone
(914) 632-2804
Fax
(914) 636-0986
NPI assigned
May 20, 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
Mrs. Rita C Mabli, LNHA
Title
Executive Vice-President
Phone
(914) 632-2804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5904315N NY Primary

Addresses

Primary practice location

60 Willow Dr
New Rochelle, NY 10805-2307

Mailing address

60 Willow Dr
New Rochelle, NY 10805-2307
Phone (914) 632-2804

Other identifiers 1

IdentifierTypeStateIssuer
00311142MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679527022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WILLOW DR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108052307",
            "telephone_number": "914-632-2804",
            "fax_number": "914-636-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WILLOW DR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108052307",
            "telephone_number": "914-632-2804",
            "fax_number": "914-636-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MABLI",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE VICE-PRESIDENT",
        "authorized_official_telephone_number": "914-632-2804",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5904315N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00311142",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "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 Aug 22, 2020; 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.