Healthcare Provider Details

I. General information

NPI: 1356886170
Provider Name (Legal Business Name): ACCORDIUS HEALTH AT ST MARY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2017
Last Update Date: 11/27/2025
Certification Date: 11/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E RUSHOLME ST
DAVENPORT IA
52803-2547
US

IV. Provider business mailing address

14C 53RD ST SUITE 220
BROOKLYN NY
11232-2644
US

V. Phone/Fax

Practice location:
  • Phone: 877-567-0402
  • Fax: 718-567-0600
Mailing address:
  • Phone: 718-567-0400
  • Fax: 718-567-0600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number820846
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: CHAIM HYMAN
Title or Position: CEO
Credential:
Phone: 718-567-0400