Judith Lynn Home For Adults, LLC
Assisted Living Facility in Bronx, NY. Organization (NPI-2).
NPI number1467722017
StatusActive
Last updated in NPPESJan 12, 2012
Details
- NPI
- 1467722017
- Entity type
- Organization (NPI-2)
- Legal business name
- Judith Lynn Home For Adults, LLC
- Organization subpart
- No
- Enumeration date
- Jan 12, 2012
- Last updated
- Jan 12, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 020-f-817 | NY | Yes |
Other names
- Amber Court Of Pelham Gardens (Doing Business As)
Practice location
1800 Waring AveBronx, NY 10469-6331
Phone 718-379-4400
Mailing address
1800 Waring AveBronx, NY 10469-6331
Phone 718-379-4400
Authorized official
Raphael Weiss
Cfo, Manager
5163343838
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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