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Contact Information

ST VINCENT DE PAUL RESIDENCE
900 INTERVALE AVENUE
BRONX, NY10459
 Phone: 917-645-9201
 Fax: 718-589-7010
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for ST VINCENT DE PAUL RESIDENCE

NPI Number 1053390534
LBN Legal business name ST VINCENT DE PAUL RESIDENCE
Authorized official ANNMARIE COVONE - (SRVP CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/12/2006
Last updated 03/21/2008 - About 18 years ago
Identifiers
NY License # 7000366N
NY Medicaid 01367115
NY Medicaid 01446244
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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