Active NPI
Jewish Home Lifecare Community Services
- Home Health Agency
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03870564 | Medicaid | NY |
Other names 1
- The New Jewish Home, Home Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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)
- Overall star rating
- Ownership
- Non-Profit
- Certified
- Aug 15, 2013
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2060021 | Jewish Home Lifecare Community Services | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Jewish Home Lifecare Community Services
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Mamaroneck, NY
- NPI 1275870297
-
- Home Health Agency
- Bronx, NY
- NPI 1750628772
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ellen Susan Reinheimer | Corporate Director | Oct 31, 2014 | |
| Dana Penny | Corporate Officer | Apr 1, 2018 | |
| Operational/Managerial Control | Jan 8, 2001 | ||
| Michael Luskin | Corporate Director | Oct 6, 1997 | |
| Adrienne Gingi Pica | Corporate Director | Dec 17, 2020 | |
| Sofia Segal | Corporate Director | Dec 16, 2016 | |
| Tom Andrew Javits | Corporate Director | Jan 1, 2022 | |
| Ruth M Spinner | Operational/Managerial Control | Sep 10, 2018 | |
| Daniel S Bernstein | Corporate Director | Apr 4, 2013 | |
| Jeffrey I Farber | Corporate Officer | Dec 28, 2017 | |
| William a. Blumstein | Corporate Director | Dec 3, 1979 | |
| Jill Oberlander | Corporate Director | Mar 23, 2021 | |
| Betsy Treiger Shuster | Corporate Director | Jan 1, 2022 | |
| Tami Schneider | Corporate Director | Dec 20, 2005 | |
| William Kummel | Corporate Director | Nov 16, 2010 | |
| Susan Glickman | Corporate Director | Mar 6, 2012 | |
| Johnathan Hochberg | Corporate Director | Jun 21, 2005 | |
| Bruce Evans | Corporate Director | Mar 23, 2006 | |
| Jewish Home Lifecare | 5% Or Greater Direct Ownership Interest | Jul 8, 2003 | 100% |
| George Tillinghast | Operational/Managerial Control | Feb 1, 2022 | |
| Lynn Oberlander | Corporate Director | Jan 24, 2005 | |
| David Orelowitz | Corporate Director | Nov 17, 2008 | |
| Peter Thomas Hess | Corporate Director | Jun 18, 2015 | |
| JHL Corporate Services Inc | Operational/Managerial Control | Mar 6, 2012 | |
| Scott a Hansen | Corporate Director | Sep 26, 2011 | |
| Lisa Gelb Feiner | Corporate Director | Mar 6, 2012 | |
| Elizabeth Pagel Serebransky | Corporate Director | Mar 30, 2011 | |
| Lisa Lippman | Corporate Director | Apr 3, 2014 | |
| Margot E. Freedman | Corporate Director | Oct 1, 1990 | |
| Walter Primoff | Corporate Director | Jun 12, 2018 | |
| David Freeman | Corporate Director | Oct 3, 1988 | |
| Mel Barkan | Corporate Director | Sep 16, 2003 | |
| Mark Weiss | Corporate 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- New York, NY
- NPI 1932153566
Corporate Officer
-
- Geriatric Medicine (Internal Medicine) Physician
- New York, NY
- NPI 1174785950
Operational/Managerial Control
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- New York, NY
- NPI 1811062920
Jewish Home Lifecare, JHL Corporate Services Inc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- New York, NY
- NPI 1689874703
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- New York, NY
- NPI 1740740349
Home health agency
-
- Geriatric Medicine (Internal Medicine) Physician
- New York, NY
- NPI 1124550918
Home health agency
-
- Geriatric Medicine (Internal Medicine) Physician
- Bridgeport, CT
- NPI 1093133134
Home health agency
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
- Youngshin Jeun, PHARMACIST
- Nadia Jeune
- Jewish Association for Services for the Aged
- Jewish Association for Services for the Aged
- Jewish Board of Family and Children Services
- Jewish Home Lifecare Harry and Jeanette Weinberg Campus Bronx
- Jewish Home Lifecare Harry and Jeanette Weinberg Campus Bronx
- Jewish Home Lifecare Harry and Jeanette Weinberg Campus Bronx
- Jewish Home Lifecare, Community Services
- Jewish Home Lifecare, Harry & Jeanette Weinberg Campus, Bron
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.