Jewish Home Lifecare Sarah Neuman Center Westchester

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

021374 Issued in NY

Legal business name

JEWISH HOME LIFECARE SARAH NEUMAN CENTER WESTCHESTER

Practice address

845 Palmer Ave
Mamaroneck, NY 10543-2406

Phone

(914) 864-5190

Fax

(914) 864-5195

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Renee Hofman, MS, RPH

Title

Senior Director, Pharmacy

Phone

(914) 864-5190

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Jewish Home Lifecare, Sarah Neuman Ctr, Pharmacy Doing business as

Tax ID family

Jewish Home Lifecare Sarah Neuman Center Westchester3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Jewish Home Lifcare Sarah Neuman Center Westchester

  • Adult Day Care Clinic/Center
  • Mamaroneck, NY
  • NPI 1457426579
  NPD tax ID
• SRN Corporation

  • Non-emergency Medical Transport (VAN)
  • Mamaroneck, NY
  • NPI 1366517484
  NPD tax ID

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1871697839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 PALMER AVE",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105432406",
            "telephone_number": "914-864-5190",
            "fax_number": "914-864-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 PALMER AVE",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105432406",
            "telephone_number": "914-864-5190",
            "fax_number": "914-864-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH HOME LIFECARE SARAH NEUMAN CENTER WESTCHESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "HOFMAN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "SENIOR DIRECTOR, PHARMACY",
        "authorized_official_telephone_number": "914-864-5190",
        "authorized_official_credential": "MS, RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "021374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01266233",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2060140",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jewish Home Lifecare, Sarah Neuman Ctr, Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jewish Home Lifcare Sarah Neuman Center Westchester
• Jewish Home Lifecare Sarah Neuman Center Westchester
• Jewish Home Lifecare Sarah Neuman Center Westchester
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• Christopher Anibal Jimenez
• Pamela Joannou
• Jency John
• Gabriel Antonio Johnson

• Long Term Care Pharmacy in Mamaroneck, NY
• Providers in Mamaroneck, NY by specialty
• Long Term Care Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.