Organization Active NPI

Jewish Home Lifecare Community Services

  • Home Health Agency
  • Bronx, NY
National Provider Identifier
1780936948
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JEWISH HOME LIFECARE COMMUNITY SERVICES
Practice address
1200 Waters PL Ste 204
Bronx, NY 10461-0367
Phone
(212) 273-2500
NPI assigned
Oct 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Dana Penny
Title
Chief Compliance Officer
Phone
(212) 870-4752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1200 Waters PL Ste 204
Bronx, NY 10461-0367

Mailing address

1200 Waters PL Ste 204
Bronx, NY 10461-0367
Phone (212) 273-2500

Other identifiers 1

IdentifierTypeStateIssuer
03870564MedicaidNY

Other names 1

  • The New Jewish Home, Home Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130408000386 NY Part A Provider - Home Health Agency 2365687746 Practice locations: Bronx, NY

Home health agency certification: CCN 337443

Legal name
JEWISH HOME LIFECARE COMMUNITY SERVICES
Doing business as
THE NEW JEWISH HOME, HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 15, 2013
Last certification
Apr 11, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Jul 8, 2003 in NY
Enrollment address
1200 Waters PL
Ste 204
Bronx, NY 10461-0367

Care Compare: Home health agency

Medicare Care Compare
Listed as
The New Jewish Home, Home Care (Chha)CCN 337443
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Aug 15, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

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
33D2060021Jewish Home Lifecare Community Services1200 Waters PL, Ste 237, Bronx, NY 10461Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Jewish Home Lifecare Community Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1200 Waters Pl
Ste 204
Bronx, NY 10461
Phone (212) 273-2500

104 W 29th St
New York, NY 10001
Phone (212) 616-1800

Ownership & related parties

All disclosed owners & managing parties 32

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

NameRoleSinceShare
Ellen Susan Reinheimer Individual Corporate DirectorDirector Oct 31, 2014
Dana Penny Individual Corporate OfficerChief Compliance Officer Apr 1, 2018
Operational/Managerial ControlChief Compliance Officer Jan 8, 2001
Michael Luskin Individual Corporate Director Oct 6, 1997
Adrienne Gingi Pica Individual Corporate DirectorDirector Dec 17, 2020
Sofia Segal Individual Corporate DirectorDirector Dec 16, 2016
Tom Andrew Javits Individual Corporate DirectorDirector Jan 1, 2022
Ruth M Spinner Individual Operational/Managerial ControlMedical Director Sep 10, 2018
Daniel S Bernstein Individual Corporate DirectorDirector Apr 4, 2013
Jeffrey I Farber Individual Corporate OfficerPresident & Ceo Dec 28, 2017
William a. Blumstein Individual Corporate DirectorDirector Dec 3, 1979
Jill Oberlander Individual Corporate DirectorDirector Mar 23, 2021
Betsy Treiger Shuster Individual Corporate DirectorDirector Jan 1, 2022
Tami Schneider Individual Corporate DirectorCo-Chair Dec 20, 2005
William Kummel Individual Corporate DirectorTrustee Nov 16, 2010
Susan Glickman Individual Corporate DirectorVice-Chair, System Board of Trustee Mar 6, 2012
Johnathan Hochberg Individual Corporate DirectorSystem Trustee Jun 21, 2005
Bruce Evans Individual Corporate DirectorDirector Mar 23, 2006
Jewish Home Lifecare Organization, New York, NY Non-profit 5% Or Greater Direct Ownership Interest Jul 8, 2003 100%
George Tillinghast Individual Operational/Managerial ControlAdministrator Feb 1, 2022
Lynn Oberlander Individual Corporate DirectorTrustee Jan 24, 2005
David Orelowitz Individual Corporate DirectorDirector Nov 17, 2008
Peter Thomas Hess Individual Corporate DirectorDirector Jun 18, 2015
JHL Corporate Services Inc Organization, New York, NY Non-profit Operational/Managerial Control Mar 6, 2012
Scott a Hansen Individual Corporate DirectorTrustee Sep 26, 2011
Lisa Gelb Feiner Individual Corporate DirectorDirector Mar 6, 2012
Elizabeth Pagel Serebransky Individual Corporate DirectorCo-Chair/Secretary Mar 30, 2011
Lisa Lippman Individual Corporate DirectorDirector Apr 3, 2014
Margot E. Freedman Individual Corporate DirectorDirector Oct 1, 1990
Walter Primoff Individual Corporate DirectorDirector Jun 12, 2018
David Freeman Individual Corporate DirectorDirector Oct 3, 1988
Mel Barkan Individual Corporate DirectorTrustee Sep 16, 2003
Mark Weiss Individual Corporate OfficerChief Financial Officer Jul 1, 2019

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 3

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": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1780936948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WATERS PL STE 204",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104610367",
            "telephone_number": "212-273-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WATERS PL STE 204",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104610367",
            "telephone_number": "212-273-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH HOME LIFECARE COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "PENNY",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "212-870-4752"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03870564",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The New Jewish Home, Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.