Organization Active NPI

St. Barnabas Nursing Home Adult Day Health Care

  • Skilled Nursing Facility
  • Bronx, NY
National Provider Identifier
1841488137
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ST. BARNABAS NURSING HOME ADULT DAY HEALTH CARE
Practice address
2175 Quarry Rd
Bronx, NY 10457-1663
Phone
(718) 960-3913
Fax
(718) 960-3999
NPI assigned
Oct 11, 2007
Last updated
Oct 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Mary Grochowski
Title
Cheif Financial Officer
Phone
(718) 960-3839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2175 Quarry Rd
Bronx, NY 10457-1663

Mailing address

2175 Quarry Rd
Bronx, NY 10457-1663
Phone (718) 960-3913

Other identifiers 2

IdentifierTypeStateIssuer
01617610MedicaidNY
7000371NOtherNYOPERATING CERTIFICATE #

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1841488137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 QUARRY RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104571663",
            "telephone_number": "718-960-3913",
            "fax_number": "718-960-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 QUARRY RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104571663",
            "telephone_number": "718-960-3913",
            "fax_number": "718-960-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. BARNABAS NURSING HOME ADULT DAY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "GROCHOWSKI",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CHEIF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "718-960-3839"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01617610",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPERATING CERTIFICATE #",
            "identifier": "7000371N",
            "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 Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.