Healthcare Provider Details

I. General information

NPI: 1942297783
Provider Name (Legal Business Name): HEBREW HOSPITAL HOME, INC. - ADULT DAY CARE BRONX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 CO OP CITY BLVD
BRONX NY
10475-1603
US

IV. Provider business mailing address

801 CO OP CITY BLVD
BRONX NY
10475-1603
US

V. Phone/Fax

Practice location:
  • Phone: 718-239-6444
  • Fax:
Mailing address:
  • Phone: 718-239-6444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number7000353N
License Number StateNY

VIII. Authorized Official

Name: MS. MARY FRANCES BARRETT
Title or Position: CEO
Credential:
Phone: 718-239-6400