Provider Demographics
NPI:1558342444
Name:UNITED HOME FOR AGED HEBREWS
Entity Type:Organization
Organization Name:UNITED HOME FOR AGED HEBREWS
Other - Org Name:UNITED HEBREW GERIATRIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:RITA
Authorized Official - Middle Name:C
Authorized Official - Last Name:MABLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-632-2804
Mailing Address - Street 1:60 WILLOW DR
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10805-2307
Mailing Address - Country:US
Mailing Address - Phone:914-632-2804
Mailing Address - Fax:
Practice Address - Street 1:60 WILLOW DR
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10805-2307
Practice Address - Country:US
Practice Address - Phone:914-632-2804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-08
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00310912314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00310912Medicaid
NY00310912Medicaid