METHODIST CHURCH HOME FOR THE AGED IN THE CITY OF NEW YORK (NPI# 1790879146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790879146 |
| Entity Type | Organization |
| Organization Name | METHODIST CHURCH HOME FOR THE AGED IN THE CITY OF NEW YORK |
| Practice Address |
4499 Manhattan College Parkway Bronx NY 10471 |
| Practice Telephone | 7185485100 |
| Practice Fax Number | 7185483147 |
| Mailing Telephone | 7185485100 |
| Mailing Fax Number | 7185483147 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-06-30 |
| Authorized Official Name | MS. MARIA ELENA PEREZ (ADMINISTRATOR) |
| Authorized Official Telephone | 7185485100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 376G00000X | Nursing Home Administrator | 04740 | NY | Nursing Service Related Providers |
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00313548 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | METHODIST CHURCH HOME FOR THE AGED IN THE CITY OF NEW YORK | 4499 Manhattan College Parkway, Bronx, New York 10471-3998 |
| Street Address |
4499 MANHATTAN COLLEGE PARKWAY |
| City | BRONX |
| State | NY |
| Zip Code | 10471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753680 | Alexandra Lynn Picard | Nurse Practitioner | Henry Ittleson Center, 5050 Iselin Avenue, Bronx, NY 10471 | 2020-09-03 |
| 1124579529 | Joselyne Bararwandika | Registered Nurse | 385 W 263rd St, Bronx, NY 10471 | 2016-10-20 |
| 1356890289 | Ann G Odonnell | Skilled Nursing Facility | 5644 Netherland Ave., 2a, Bronx, NY 10471 | 2016-10-04 |
| 1720443047 | The Hebrew Home for The Aged At Riverdale | Clinic/Center | 5901 Palisade Avenue, Riverdale, NY 10471 | 2015-12-31 |
| 1073989570 | Laura Maria Luciano | Social Worker | 5676 Riverdale Ave Suite 202, Riverdale Mental Health Association, Bronx, NY 10471 | 2015-08-19 |
| 1043607419 | Bianca Rodriguez | Social Worker | 6211 Broadway, 5h, Bronx, NY 10471 | 2015-04-23 |
| 1427445204 | Paul M Hertz Dmd LLC | Dentist | 6011 Riverdale Avenue, Riverdale, NY 10471 | 2015-04-20 |
| 1891186045 | Maria Caceres | Radiologic Technologist | 216 Foster Pl, Bronx, NY 10471 | 2015-02-10 |
| 1437558244 | Sherin Shijo Zacharias | Nurse Practitioner | Mosholu Medical Group, 5750 Mosholu Ave., Bronx, NY 10471 | 2014-08-18 |
| 1699101824 | Jaeyong Choi | Registered Nurse | 600 West 246th St., Apt 205, Bronx, NY 10471 | 2013-09-19 |
| Find all providers in zip 10471 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
| 1124410733 | Hope Center Operations LLC | Skilled Nursing Facility | 1401 University Avenue, Bronx, NY 10452-4050 | 2015-02-19 |
| 1619371341 | Glenmore Wiggan | Skilled Nursing Facility | 3322 Lurting Ave, Bronx, NY 10469-3712 | 2014-10-09 |
| 1427488063 | Ibrahim | Skilled Nursing Facility | 1915 Morris Ave, Bronx, NY 10453-5920 | 2013-11-18 |
| 1053687467 | Board of Education(office of School Health) | Skilled Nursing Facility | 2225 Webster Ave Rm 309, (ms391), Bronx, NY 10457 | 2012-03-29 |
| 1740552611 | Rugal Enterprises LLC | Skilled Nursing Facility | 3843 Bailey Ave, Bronx, NY 10463-2503 | 2012-02-07 |
| 1871626218 | Michael M Tsung | Skilled Nursing Facility | 3200 Baychester Ave, Bronx, NY 10475-1513 | 2007-03-14 |
| 1578623179 | Riverdale Center for Nursing and Rehabilitation, LLC | Skilled Nursing Facility | 3220 Henry Hudson Parkway, Bronx, NY 10463-3211 | 2006-12-12 |
| 1902974058 | Eastchester Rehabilitation and Health Care Center LLC | Skilled Nursing Facility | 2700 Eastchester Rd, Bronx, NY 10469-5923 | 2006-11-30 |
| 1568535284 | Throgs Neck Operating Co LLC | Skilled Nursing Facility | 707 Throggs Neck Expy, Bronx, NY 10465-2319 | 2006-11-17 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.