Bethabraham Hospital
Rehabilitation Unit in Bronx, NY. Organization (NPI-2).
NPI number1285948570
StatusActive
Last updated in NPPESJul 29, 2010
Details
- NPI
- 1285948570
- Entity type
- Organization (NPI-2)
- Legal business name
- Bethabraham Hospital
- Organization subpart
- No
- Enumeration date
- Jul 29, 2010
- Last updated
- Jul 29, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 273Y00000X | Rehabilitation Unit | 006625-1 | NY | Yes |
| 251300000X | Local Education Agency (LEA) | 006625-1 | NY | |
| 252Y00000X | Early Intervention Provider Agency | 006625-1 | NY | |
| 302R00000X | Health Maintenance Organization | 006625-1 | NY | |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 006625-1 | NY |
Other names
- Bainbridge Nursing Home (Other Name)
Practice location
3936 Barnes AveBronx, NY 10466-4313
Phone 646-415-1121
Mailing address
3936 Barnes AveBronx, NY 10466-4313
Phone 646-415-1121
Authorized official
Lorna Decarla Innis
Ota/Ota
6464151121
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