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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVIDENCE REST

Active Organization

PROVIDENCE REST is a Skilled Nursing Facility organization located in BRONX, New York. NPI 1063411262 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · BRONX, NY

Registration Details

NPI Number
1063411262
Provider Type
Organization
NPI Issued
Jul 19, 2005 (21.08073226974 yrs)
Last Updated
Jul 8, 2015
Licenses
7000306N (NY)
7000306N (NY)

Practice Information

Address
3304 WATERBURY AVE
BRONX, NY, 104651554
Browse NY providers · Browse ZIP 10465
Phone
7189313000
Fax
7185148447
Primary Specialty
Skilled Nursing Facility
314000000X
Additional Specialty
Skilled Nursing Facility
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.