PROVIDENCE REST
NPI 1063411262
Skilled Nursing Facility in Bronx, NY

Active since July 19, 2005CLIA 33D2029667 · Waiver
3/5
Overall Rating
3304 WATERBURY AVE, BRONX, NY 10465(718) 931-3000(718) 514-8447 Get Directions Write a Review

NPPES record last updated: July 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Rest NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE REST (NPI 1063411262) is a healthcare organization registered as a skilled nursing facility in Bronx, New York and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Susan M Steinberg, Administrator, as its authorized official.

NPPES Registry Identity

NPI1063411262
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePROVIDENCE REST
Location Address3304 WATERBURY AVEBronx, NY 10465-1554
Mailing Address3304 Waterbury AveBronx, NY 10465-1554 · (718) 931-3000 · Fax (718) 514-8447
Fax(718) 514-8447
Organization SubpartNo
Authorized OfficialSusan M SteinbergAdministrator · (718) 931-3000
Enumeration DateJuly 19, 2005
Last NPPES UpdateJuly 8, 2015
NPI 1063411262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in NY · 7000306N
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedRespite CareTaxonomy 385H00000X · License 7000306N (NY)
3304 WATERBURY AVE, Bronx, NY 10465

Other Identifiers 5

Medicaid00309357NY
Other007381NY · Blue Cross/ Blue Shield
Medicare PIN335583
Other1216NY · Facility
Medicaid01133297NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2029667

Providence Rest Nursing Home · Bronx, NY
Active · expires Mar 26, 2027
CLIA Number33D2029667
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 13, 2011
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Hammad M. Rizvi
Laboratory Phone(718) 931-3000
Laboratory LocationProvidence Rest Nursing Home3304 Waterbury Avenue, Bronx, NY 10465
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Archcare At Providence Rest (CMS certification number 335583), from CMS Care Compare.

Archcare At Providence Rest

Nursing home · Bronx, NY
3/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number335583
Certified Beds200 beds196 residents per day on average
Medicare & Medicaid Participant SinceDecember 1, 1976
Resident & Family CouncilResident and family councils
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
32
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.03 · LPN 0.38 · RN 0.86
3.27 hrs per resident per day
Weekend Nurse Staffing
2.75 hrs per resident per day
Physical Therapist Staffing
0.08 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
31.3%
Registered Nurse Turnover
28.8%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
6
Substantiated Complaints
3
Fines
1 totaling $7,900.75
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adult Day Care)
3304 WATERBURY AVE
BRONX, NY 10465
Speech-Language Pathologist
3304 WATERBURY AVE
BRONX, NY 10465
Respiratory Therapist, Registered
3304 WATERBURY AVE
BRONX, NY 10465
Registered Nurse
3304 WATERBURY AVE
BRONX, NY 10465
Physical Therapist
3304 WATERBURY AVE
BRONX, NY 10465
Physical Therapist
3304 WATERBURY AVE
BRONX, NY 10465
Skilled Nursing Facility
3304 WATERBURY AVE
BRONX, NY 10465
Occupational Therapist
3304 WATERBURY AVE
BRONX, NY 10465

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Rest's NPI number?

The NPI number for Providence Rest is 1063411262. It was assigned to this organization in the NPPES registry on July 19, 2005.

Where is Providence Rest located?

Providence Rest is located at 3304 Waterbury Ave, Bronx, NY 10465. The listed phone number is (718) 931-3000.

What is Providence Rest's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Providence Rest hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2029667) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Providence Rest a Medicare-certified nursing home?

Yes. Archcare At Providence Rest is a Medicare-certified nursing home with 200 certified beds.

What quality rating does Providence Rest have?

CMS rates Archcare At Providence Rest 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Providence Rest was last updated on July 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.