PROVIDENCE REST OUTPATIENT REHABILITATION
NPI 1871754861
Skilled Nursing Facility in Bronx, NY
NPI Status: Active since June 23, 2008
- Organization
- Skilled Nursing Facility
- CLIA Number: 33D2029667
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 03-26-2027
About PROVIDENCE REST OUTPATIENT REHABILITATION
This page provides the complete NPI Profile along with additional information for Providence Rest Outpatient Rehabilitation, a provider established in Bronx, New York operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1871754861 assigned on June 2008. The practitioner's primary taxonomy code is 314000000X with license number 7000306N (NY). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mrs. Maria Spina (Accounts Receivable Supervisor)
- NPI
- 1871754861
- Provider Name
- PROVIDENCE REST OUTPATIENT REHABILITATION
- Entity Type
- Organization
- Location Address
- 3304 WATERBURY AVE BRONX, NY 10465
- Location Phone
- (718) 931-3000
- Mailing Address
- 3304 WATERBURY AVE BRONX, NY 10465
- Mailing Phone
- (718) 931-3000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-23-2008
- Last Update Date
- 06-23-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 7000306N
- License State
- NY
- Taxonomy Description
- (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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D2029667
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- September 13, 2011
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- DR. HAMMAD M. RIZVI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Providence Rest Outpatient Rehabilitation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 7 | 1 | 7 | 5 | 4 | 8 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 14 | 1 | 14 | 5 | 8 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 4 + 1 + 1 + 4 + 5 + 8 + 8 + 1 + 2 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1871754861 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1689817157 | MICHELLE CHERRY TOLENTINO Individual | Physical Therapist | 3304 WATERBURY AVE BRONX, NY 10465 (718) 931-3000 |
| 1679855241 | JANE DEMONTEVERDE Individual | Physical Therapist | 3304 WATERBURY AVE BRONX, NY 10465 (718) 931-3000 |
| 1063411262 | PROVIDENCE REST Organization | Skilled Nursing Facility | 3304 WATERBURY AVE BRONX, NY 10465 (718) 931-3000 |
| 1588106645 | STANLEY JEAN Individual | Respiratory Therapist, Registered | 3304 WATERBURY AVE BRONX, NY 10465 (718) 931-3000 |
| 1477105724 | ADRIANNA NICOLE MANZELLA Individual | Speech-Language Pathologist | 3304 WATERBURY AVE BRONX, NY 10465 (718) 931-3000 |
| 1891328407 | CHIFFINA ROBINSON Individual | Occupational Therapist | 3304 WATERBURY AVE BRONX, NY 10465 (718) 931-3000 |
| 1063597631 | PROVIDENCE REST ADULT DAY HEALTH CARE Organization | Clinic/Center (Adult Day Care) | 3304 WATERBURY AVE BRONX, NY 10465 (718) 931-3000 |
| 1639932015 | MAY LENETTE MARCERA DIGAMO RN Individual | Registered Nurse | 3304 WATERBURY AVE BRONX, NY 10465 (718) 931-3000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871754861, enumerated in the NPI registry as an "organization" on June 23, 2008
The provider is located at 3304 Waterbury Ave Bronx, Ny 10465 and the phone number is (718) 931-3000
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider's CLIA number is 33D2029667 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on June 23, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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