BISHOP WALDO MCLEAN NURSING HOME - NPI 1215006960 - Skilled Nursing Facility in Far Rockaway, NY

Q: What is Episcopal Health Services Inc's NPI number?

The NPI number for Episcopal Health Services Inc is 1215006960. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider is doing business as Bishop Waldo Mclean Nursing Home.

Q: What is Episcopal Health Services Inc's specialty?

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

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About Bishop Waldo Mclean Nursing Home NPPES

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

BISHOP WALDO MCLEAN NURSING HOME (NPI 1215006960) is a healthcare organization registered as a skilled nursing facility in Far Rockaway, New York and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Cherian Palathra, Corporate Controller, as its authorized official.

NPPES Registry Identity

NPI1215006960

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NameEPISCOPAL HEALTH SERVICES INC

Location Address1711 BROOKHAVEN AVEFar Rockaway, NY 11691-4406

Mailing Address1711 Brookhaven AveFar Rockaway, NY 11691-4406 · (718) 869-7641 · Fax (718) 869-8507

Phone(718) 869-7641

Fax(718) 869-8507

Organization SubpartNo

Authorized OfficialCherian PalathraCorporate Controller · (516) 349-5227

Enumeration DateNovember 7, 2006

Last NPPES UpdateNovember 23, 2011

✔ NPI 1215006960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities

Taxonomy Code314000000X

License✔ Licensed in NY · 7003356N

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.

1711 BROOKHAVEN AVE, Far Rockaway, NY 11691

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Other Names 1

Doing Business AsBishop Waldo Mclean Nursing Home

Other Identifiers 2

Medicare OSCAR/certification335682NY

Medicaid00337242NY

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 33D2232838

Episcopal Health Services Inc St John's Hospital · Far Rockaway, NY

Active · expires Mar 26, 2027

CLIA Number33D2232838

Laboratory TypeAncillary Testing Site In Health Care Center

Certificate Effective DateAugust 18, 2021

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Miguel G. Echevarria

Laboratory Phone(347) 619-9092

Laboratory LocationEpiscopal Health Services Inc St John's Hospital495 Beach 20th St, Far Rockaway, NY 11691

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

MS. CLAVILLE BARBARA THOMAS

Registered Nurse