Active NPI
East Haven Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 7000360N
- Legal business name
- EAST HAVEN NURSING AND REHABILITATION CENTER
- Practice address
- 2323 Eastchester Rd
Bronx, NY 10469-5910 - Phone
- (718) 655-2848
- Fax
- (347) 334-7563
- NPI assigned
- Feb 14, 2006
- 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
- Ms. Gracy Varghese
- Title
- Administrator
- Phone
- (718) 655-2848
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 7000360N | NY | Primary |
Addresses
Primary practice location
2323 Eastchester Rd
Bronx, NY 10469-5910
Mailing address
3530 Wayne Ave
Bronx, NY 10467-1511
Phone (718) 655-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00311317 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120202000036 | NY | Part A Provider - Skilled Nursing Facility | 5698940153 | Practice locations: Bronx, NY |
Skilled nursing facility certification: CCN 335723
- Legal name
- EAST HAVEN NURSING AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 1, 1992
- Last certification
- Feb 25, 2025
- Beds
- 200
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 2323 Eastchester Rd
Bronx, NY 10469-5910 - Nursing home name
- EAST HAVEN NURSING & REHABILITATION CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- East Haven Nursing & Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 1, 1992
- Medicare certification status
- Active
- Certified beds
- 200
- Penalties (3 years)
- 5
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 |
|---|---|---|---|
| 33D0965610 | East Haven Nursing & Rehabilitation Center | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
2323 Eastchester Rd
#27
Bronx, NY 10469
Phone (718) 655-2848
Ownership & related parties
All disclosed owners & managing parties 8
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 |
|---|---|---|---|
| Benjamin S Feldman | Operational/Managerial Control | May 1, 2006 | |
| Joseph Brachfeld | 5% Or Greater Direct Ownership Interest | Oct 1, 2021 | 33.33% |
| Managing Control - Governing Body | Oct 1, 2021 | ||
| Adp of the SNF | Oct 1, 2021 | ||
| 2323 Eastchester LLC | Adp of the SNF | Dec 12, 2000 | |
| Israel Hartman | 5% Or Greater Direct Ownership Interest | Oct 1, 2021 | 33.34% |
| Managing Control - Governing Body | Oct 1, 2021 | ||
| Adp of the SNF | Oct 1, 2021 | ||
| Steven Smyth | Operational/Managerial Control | Jun 4, 2024 | |
| Adp of the SNF | Apr 9, 2025 | ||
| Isaac E Goldbrenner Estate | 5% Or Greater Direct Ownership Interest | Feb 19, 2024 | 33.33% |
| Adp of the SNF | Feb 19, 2024 | ||
| Amit Saxena | Operational/Managerial Control | Jan 21, 2019 | |
| Adp of the SNF | Apr 9, 2025 | ||
| Medco Enterprises, Inc. | Adp of the SNF | Apr 9, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Bronx, NY
- NPI 1851507362
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Bronx, NY
- NPI 1326022112
Isaac E Goldbrenner Estate
-
- Skilled Nursing Facility
- Bronx, NY
- NPI 1861481566
Isaac E Goldbrenner Estate
-
- Skilled Nursing Facility
- Bronx, NY
- NPI 1083696132
Isaac E Goldbrenner Estate
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Bronx, NY
- NPI 1043328289
-
- Family Medicine Physician
- Bronx, NY
- NPI 1235304106
-
- Geriatric Medicine (Internal Medicine) Physician
- Bronx, NY
- NPI 1851507362
Affiliated clinicians 2
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": "1139875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713139200000",
"number": "1801860291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3530 WAYNE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104671511",
"telephone_number": "718-655-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 EASTCHESTER RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104695910",
"telephone_number": "718-655-2848",
"fax_number": "347-334-7563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST HAVEN NURSING AND REHABILITATION CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-14",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A",
"authorized_official_last_name": "VARGHESE",
"authorized_official_first_name": "GRACY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "718-655-2848",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "7000360N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00311317",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.