Healthcare Provider Details

I. General information

NPI: 1154389211
Provider Name (Legal Business Name): HOWE AVENUE NURSING HOME INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 02/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 GUION PLACE
NEW ROCHELLE NY
10802
US

IV. Provider business mailing address

16 GUION PLACE
NEW ROCHELLE NY
10802
US

V. Phone/Fax

Practice location:
  • Phone: 914-632-5000
  • Fax: 914-637-1117
Mailing address:
  • Phone: 914-632-5000
  • Fax: 914-637-1117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number015881
License Number StateNY

VIII. Authorized Official

Name: SUSAN A SALES
Title or Position: ADMINISTRATOR
Credential:
Phone: 914-365-3702