Healthcare Provider Details

I. General information

NPI: 1073797429
Provider Name (Legal Business Name): HEBREW HOSPITAL SENIOR HOUSING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2007
Last Update Date: 11/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 GRASSLANDS RD
VALHALLA NY
10595-1543
US

IV. Provider business mailing address

51 GRASSLANDS RD
VALHALLA NY
10595-1543
US

V. Phone/Fax

Practice location:
  • Phone: 914-681-8696
  • Fax: 914-681-8691
Mailing address:
  • Phone: 914-681-8696
  • Fax: 914-681-8691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number5957303N
License Number StateNY

VIII. Authorized Official

Name: MS. MARY FRANCES BARRETT
Title or Position: CEO
Credential:
Phone: 914-681-8600