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NPI Code Detail

MEDICARE: JEWISH HOME LIFECARE HARRY AND JEANETTE WEINBERG CAMPUS BRONX

MEDICARE: JEWISH HOME LIFECARE HARRY AND JEANETTE WEINBERG CAMPUS BRONX
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 Facility7000317NNY

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 : 1912072208
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEWISH HOME LIFECARE HARRY AND JEANETTE WEINBERG CAMPUS BRONX
Provider Business Mailing Address
First Line : 100 W KINGSBRIDGE RD
Second Line :
City : BRONX
State : NY
Zip : 10468-3903
Country : US
Telephone Number : 718-410-1500
Fax Number :
Provider Business Practice Location Address
First Line : 100 W KINGSBRIDGE RD
Second Line :
City : BRONX
State : NY
Zip : 10468-3903
Country : US
Telephone Number : 718-410-1500
Fax Number :
Authorized Official
Title or Position : CEO
Name : AUDREY WEINER
Credential : DSW
Telephone Number : 212-870-4600
Provider Enumeration Date : 11/21/2006
Last Update Date : 12/16/2015

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Directions to “JEWISH HOME LIFECARE HARRY AND JEANETTE WEINBERG CAMPUS BRONX ” Practice Location

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