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NPI Code Detail

MEDICARE: MORNINGSIDE AT HOME

MEDICARE: MORNINGSIDE AT HOME
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
1310400000XAssisted Living Facility020-E-138NY

General Provider Information

NPI Number : 1386060994
Entity Type Code : Organization
Provider Name (Legal Business Name) : MORNINGSIDE AT HOME
Provider Business Mailing Address
First Line : 1000 PELHAM PKWY S
Second Line :
City : BRONX
State : NY
Zip : 10461-1003
Country : US
Telephone Number : 718-409-8200
Fax Number : 718-828-2697
Provider Business Practice Location Address
First Line : 1000 PELHAM PKWY S
Second Line :
City : BRONX
State : NY
Zip : 10461-1003
Country : US
Telephone Number : 718-409-8200
Fax Number : 718-828-2697
Authorized Official
Title or Position : PRESIDENT/CHIEF EXECUTIVE OFFICER
Name : WILLIAM T SMITH
Credential :
Telephone Number : 718-409-8214
Provider Enumeration Date : 03/07/2014
Last Update Date : 03/07/2014

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Directions to “MORNINGSIDE AT HOME ” Practice Location

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