SPLIT ROCK ADULT DAY HEALTH CARE NPI 1275733297

NPI Information

NPI: 1275733297
Provider Name: SPLIT ROCK ADULT DAY HEALTH CARE
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 33D0712114

Address:
3525 BAYCHESTER AVE
BRONX, NY
ZIP 10466
Phone: (718) 798-8900
Get Directions

SPLIT ROCK ADULT DAY HEALTH CARE is an adult day care clinic center in Bronx, NY. SPLIT ROCK ADULT DAY HEALTH CARE NPI is 1275733297. The provider is registered as an organization entity type.

The provider's business location address is:

3525 BAYCHESTER AVE
BRONX, NY
ZIP 10466-001
Phone: (718) 798-8900
Fax: (855) 570-0752

The provider's authorized official is Aj Weiss .
The authorized official title is Controller and has the following contact phone number (718) 670-6300.

The CLIA number assigned to this NPI record is 33D0712114 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2007 and was last updated on 4/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care	7000384N	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01120103	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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