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NPI Code Detail

MEDICARE: EASTCHESTER REHABILITATION AND HEALTH CARE CENTER LLC

MEDICARE: EASTCHESTER REHABILITATION AND HEALTH CARE CENTER LLC
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
1314000000XSkilled Nursing Facility7000383NNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902974058
Entity Type Code : Organization
Provider Name (Legal Business Name) : EASTCHESTER REHABILITATION AND HEALTH CARE CENTER LLC
Provider Business Mailing Address
First Line : 2700 EASTCHESTER RD
Second Line :
City : BRONX
State : NY
Zip : 10469-5923
Country : US
Telephone Number : 718-231-5550
Fax Number : 718-231-5527
Provider Business Practice Location Address
First Line : 2700 EASTCHESTER RD
Second Line :
City : BRONX
State : NY
Zip : 10469-5923
Country : US
Telephone Number : 718-231-5550
Fax Number : 718-231-5527
Authorized Official
Title or Position : CONTROLLER
Name : MR. JEROME WEINSTOCK
Credential :
Telephone Number : 718-231-5550
Provider Enumeration Date : 11/30/2006
Last Update Date : 07/25/2016

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