Provider Demographics
NPI:1164490421
Name:FRANCES SCHERVIER HOME & HOSPITAL
Entity Type:Organization
Organization Name:FRANCES SCHERVIER HOME & HOSPITAL
Other - Org Name:SCHERVIER NURSING CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO/VP OF FINANCE
Authorized Official - Prefix:MS
Authorized Official - First Name:KITY
Authorized Official - Middle Name:
Authorized Official - Last Name:KHUNDKAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-548-1700
Mailing Address - Street 1:2975 INDEPENDENCE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-4620
Mailing Address - Country:US
Mailing Address - Phone:718-548-1700
Mailing Address - Fax:718-548-6322
Practice Address - Street 1:2975 INDEPENDENCE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-4620
Practice Address - Country:US
Practice Address - Phone:718-548-1700
Practice Address - Fax:718-548-6322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-10
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7000315N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00314269Medicaid
NY335015Medicare ID - Type Unspecified