United Odd Fellow and Rebekah Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

7000314N Issued in NY

Legal business name

UNITED ODD FELLOW AND REBEKAH HOME

Practice address

1072 Havemeyer Ave
Bronx, NY 10462-5310

Phone

(718) 863-6200

Fax

(718) 828-0760

NPI assigned

Jun 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Michael Felberg

Title

Director of Finance

Phone

(718) 863-6200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rebekah Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Skilled nursing facility certification: CCN 335557

Legal name

UNITED ODD FELLOW AND REBEKAH HOME

Doing business as

REBEKAH REHAB & EXTENDED CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 1, 1976

Last certification

Dec 13, 2023

Beds

213

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Enrollment address

1070 Havemeyer Ave
Bronx, NY 10462-5310

Nursing home name

REBEKAH REHABILITATION AND EXTENDED CARE CENTER

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• United Odd Fellow and Rebekah Home

  • Home Health Agency
  • Bronx, NY
  • NPI 1841474145

  9537071345

  Same PAC ID

Listed as

Rebekah Rehabilitation and Extended Care CenterCCN 335557

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Nov 1, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

213208.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

United Odd Fellow Rebekah2 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.

• United Odd Fellow and Rebekah Home

  • Home Health Agency
  • Bronx, NY
  • NPI 1841474145
  NPD tax ID

All disclosed owners & managing parties 10

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

Owners & managing parties with NPI records 1

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

• Jeffrey Charles Gold, MD

  • Internal Medicine Physician
  • Chappaqua, NY
  • NPI 1780890574

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 3

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

• Venkata Harini Chintaluri

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1215282512
  NPD (past)
• Derek Enos

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1295230340
  NPD (past)
• Amit Saxena, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Bronx, NY
  • NPI 1851507362
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Venkata Harini Chintaluri

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1215282512

  Nursing home

  Care Compare affiliation
• Derek Enos

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1295230340

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1801898192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 HAVEMEYER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104625310",
            "telephone_number": "718-863-6200",
            "fax_number": "914-530-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 HAVEMEYER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104625310",
            "telephone_number": "718-863-6200",
            "fax_number": "718-828-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED ODD FELLOW AND REBEKAH HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "FELBERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "718-863-6200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7000314N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00309366",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebekah Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Bronx, NY
• Providers in Bronx, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.

Verify at the official NPI Registry.