Organization Active NPI

Servants of Relief for Incurable Cancer

  • Skilled Nursing Facility
  • Hawthorne, NY
National Provider Identifier
1891815262
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5957300N Issued in NY
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

Updated by the provider on Nov 1, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0718365Rosary Hill Home600 Linda Ave, Hawthorne, NY 10532Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.