MEDICARE: JEWISH HOME LIFECARE, HARRY & JEANETTE WEINBERG CAMPUS, BRON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336I0012X	Institutional Pharmacy
3	3336L0003X	Long Term Care Pharmacy	013945	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2063426	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144325002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEWISH HOME LIFECARE, HARRY & JEANETTE WEINBERG CAMPUS, BRON

Provider Business Mailing Address
First Line	:	100 W KINGSBRIDGE RD
Second Line	:	FINANCE DEPT
City	:	BRONX
State	:	NY
Zip	:	10468-3961
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	C/O PHARMACY
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10468-4066
Country	:	US
Telephone Number	:	718-410-1289
Fax Number	:	718-410-1850

Authorized Official
Title or Position	:	SENIOR DIRECTOR, PHARMACY
Name	:	RENEE HOFMAN
Credential	:	MS, RPH
Telephone Number	:	718-410-1289

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	04/06/2016

Similar Medicare Providers

1063586766 — JEWISH HOME LIFECARE HARRY AND JEANETTE WEINBERG CAMPUS BRONX
Practice Location Address:

2545 UNIVERSITY AVE , ATTN BRONX LTHHCP
BRONX, NY
10468-4066

Practice Phone: 718-367-1125
Practice Fax:

1285777243 — HOME ASSISTANCE PERSONNEL, INC.
Practice Location Address:

2545 UNIVERSITY AVE , ATTN H.A.P.I.
BRONX, NY
10468-4066

Practice Phone: 718-329-8389
Practice Fax:

1104373133 — JEWISH HOME LIFECARE, MANHATTAN
Practice Location Address:

2545 UNIVERSITY AVE , ADULT DAY HEALTH CENTER
BRONX, NY
10468-4066

Practice Phone: 718-410-1220
Practice Fax:

1497686372 — CIAO STAR CORP
Practice Location Address:

3187 HATTING PL
BRONX, NY
10465-4066

Practice Phone: 631-784-3202
Practice Fax:

1770558397 — DR. SRINIVAS KESANAKURTHY MD
Practice Location Address:

2825 3RD AVE STE 201
BRONX, NY
10455-4066

Practice Phone: 718-887-7171
Practice Fax: 929-990-2928

1891068805 — SALMAN RIAZ RPH
Practice Location Address:

2825 3RD AVE
BRONX, NY
10455-4066

Practice Phone: 646-942-0621
Practice Fax:

Directions to “JEWISH HOME LIFECARE, HARRY & JEANETTE WEINBERG CAMPUS, BRON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.