PROVIDENCE REST OUTPATIENT REHABILITATION
NPI 1871754861
Skilled Nursing Facility in Bronx, NY

NPI Status: Active since June 23, 2008

Contact Information

3304 WATERBURY AVE
BRONX, NY
ZIP 10465
Phone: (718) 931-3000

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 33D2029667
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 03-26-2027

About PROVIDENCE REST OUTPATIENT REHABILITATION

This page provides the complete NPI Profile along with additional information for Providence Rest Outpatient Rehabilitation, a provider established in Bronx, New York operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1871754861 assigned on June 2008. The practitioner's primary taxonomy code is 314000000X with license number 7000306N (NY). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mrs. Maria Spina (Accounts Receivable Supervisor)

NPI
1871754861
Provider Name
PROVIDENCE REST OUTPATIENT REHABILITATION
Entity Type
Organization
Location Address
3304 WATERBURY AVE BRONX, NY 10465
Location Phone
(718) 931-3000
Mailing Address
3304 WATERBURY AVE BRONX, NY 10465
Mailing Phone
(718) 931-3000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-23-2008
Last Update Date
06-23-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
7000306N
License State
NY
Taxonomy Description
(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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MARIA SPINA

Authorized Official Title
ACCOUNTS RECEIVABLE SUPERVISOR
Authorized Official Phone
(718) 931-3000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2029667
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 13, 2011
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. HAMMAD M. RIZVI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Providence Rest Outpatient Rehabilitation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1871754861, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 7 → 14 → 5 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 4 + 1 + 1 + 4 + 5 + 8 + 8 + 1 + 2 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1871754861.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871754861, enumerated as an "organization" on June 23, 2008.

The provider is located at 3304 WATERBURY AVE BRONX, NY 10465 and the phone number is (718) 931-3000.

Skilled Nursing Facility with taxonomy code 314000000X.