Organization Active NPI

Fort Tryon Rehabilitation & Health Care Facility LLC

Doing business as Atara Home Care

  • Home Health Agency
  • Bronx, NY
National Provider Identifier
1841475506
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FORT TRYON REHABILITATION & HEALTH CARE FACILITY LLC
Doing business as
Atara Home Care
Practice address
3525 Baychester Ave
Bronx, NY 10466-5001
Phone
(718) 298-3900
Fax
(718) 298-3901
NPI assigned
Dec 31, 2007
Last updated
Oct 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
Ms. Helen Webster
Title
Managing Member
Phone
(212) 543-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

3525 Baychester Ave
Bronx, NY 10466-5001

Mailing address

3525 Baychester Ave
Bronx, NY 10466-5001
Phone (718) 298-3900

Other identifiers 1

IdentifierTypeStateIssuer
02942441MedicaidNY

Other names 1

  • Atara 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
O20060510000017 NY Part A Provider - Home Health Agency 4486563335 Practice locations: Bronx, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841475506. Details of each certification follow.

Home health agency certification: CCN 337431

Legal name
FORT TRYON REHABILITATION & HEALTH CARE FACILITY LLC
Doing business as
ATARA HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 12, 2006
Last certification
Oct 21, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Aug 29, 2002 in NY
Enrollment address
3525 Baychester Ave
Bronx, NY 10466-5001
HHA Branch

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Atara Home CareCCN 337431 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Jul 12, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Fort Tryon Rehabilitation Health Care Facility LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

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.

NameRoleSinceShare
Aharon Weiss Individual Corporate OfficerCfo Jan 1, 2022
Boruch Webster Individual Limited Partnership InterestMember Jan 1, 2009 2%
Marilyn L Reiter Individual W-2 Managing EmployeeDir of Operations Feb 1, 2009
Shelly Nakdimen Individual 5% Or Greater Direct Ownership InterestMember Nov 1, 2002 5%
Naftali Fasten Individual Corporate OfficerDirector of Finance Jan 1, 2022
Yecheskel Webster Individual Limited Partnership InterestMember Jan 1, 2009 2%
Ben Webster Individual Limited Partnership InterestMember Jan 1, 2009 2%
Helen Webster Individual 5% Or Greater Direct Ownership InterestManaging Member Nov 1, 2002 86.5%
Moshe Webster Individual Limited Partnership InterestMember Jan 1, 2009 2.5%
Michael Karash Individual Corporate DirectorAdministrator Mar 13, 2011 100%

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1841475506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 BAYCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104665001",
            "telephone_number": "718-298-3900",
            "fax_number": "718-298-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 BAYCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104665001",
            "telephone_number": "718-298-3900",
            "fax_number": "718-298-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT TRYON REHABILITATION & HEALTH CARE FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "212-543-6400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02942441",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atara Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atara Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.