Organization · Type 2 NPI

The W Group at New Broadview, LLC

Adult Care Home Facility · Staten Island, NY

NPI number 1033611736 Active

Practice location

70 Father Capodanno Blvd
Staten Island, NY 10305-4803

Call (718) 840-3355 Map

Fax (347) 436-8045

Mailing address

2357 60th St
Brooklyn, NY 11204-2689

Specialties and licenses

Taxonomy	Code	License
Home Health Agency	251E00000X	2670L001 (NY)
Assisted Living Facility	310400000X	610-F-067 (NY)
Adult Care Home Facility Primary	311ZA0620X	610-F-067 (NY)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

9 other providers at this address

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NPI record

NPI: 1033611736
Entity type: Organization (Type 2)
Issued: Mar 8, 2018
Last updated: Oct 15, 2020
Status: Active

Other names

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New Broadview Manor Home for Adults · doing business as
New Broadview Manor Home for Adults Lhcsa · doing business as

Authorized official

Mrs. Jennifer Grajales
Project Manager
(718) 840-3355

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033611736

The W Group at New Broadview, LLC's National Provider Identifier is 1033611736, issued on Mar 8, 2018. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Staten Island, NY. The record was last updated on Oct 15, 2020.