Active NPI
Servants of Relief for Incurable Cancer
- Skilled Nursing Facility
- Hawthorne, NY
National Provider Identifier
1891815262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 5957300N
- Legal business name
- SERVANTS OF RELIEF FOR INCURABLE CANCER
- Practice address
- 600 Linda Ave
Hawthorne, NY 10532-1362 - Phone
- (914) 769-0114
- Fax
- (914) 769-3916
- NPI assigned
- Mar 30, 2007
- 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
- Marian Morales Nazario, NHA
- Title
- Administrator
- Phone
- (914) 769-0114
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 5957300N | NY | Primary |
Addresses
Primary practice location
600 Linda Ave
Hawthorne, NY 10532-1362
Mailing address
600 Linda Ave
Hawthorne, NY 10532-1362
Phone (914) 769-0114
Other names 1
- Rosary Hill Home
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 |
|---|---|---|---|
| 33D0718365 | Rosary Hill Home | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Yorktown Heights, NY
- NPI 1073836904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667260800000",
"number": "1891815262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 LINDA AVE",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105321362",
"telephone_number": "914-769-0114",
"fax_number": "914-769-3916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 LINDA AVE",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105321362",
"telephone_number": "914-769-0114",
"fax_number": "914-769-3916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERVANTS OF RELIEF FOR INCURABLE CANCER",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-30",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A",
"authorized_official_last_name": "MORALES NAZARIO",
"authorized_official_first_name": "MARIAN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "914-769-0114",
"authorized_official_credential": "NHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "5957300N",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rosary Hill Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.