Provider Demographics
NPI:1902974058
Name:EASTCHESTER REHABILITATION AND HEALTH CARE CENTER LLC
Entity Type:Organization
Organization Name:EASTCHESTER REHABILITATION AND HEALTH CARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINSTOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-231-5550
Mailing Address - Street 1:2700 EASTCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-5923
Mailing Address - Country:US
Mailing Address - Phone:718-231-5550
Mailing Address - Fax:718-231-5527
Practice Address - Street 1:2700 EASTCHESTER RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-5923
Practice Address - Country:US
Practice Address - Phone:718-231-5550
Practice Address - Fax:718-231-5527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7000383N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00310545Medicaid
NY00310545Medicaid
NY335214Medicare UPIN