Organization · Type 2 NPI

Providence Rest

Skilled Nursing Facility · Bronx, NY

NPI number 1063411262 Active

Practice location

3304 Waterbury Ave
Bronx, NY 10465-1554

Fax (718) 514-8447

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	7000306N (NY)
Respite Care	385H00000X	7000306N (NY)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1063411262

Providence Rest's National Provider Identifier is 1063411262, issued on Jul 19, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Bronx, NY. The record was last updated on Jul 8, 2015.