Providence Rest
Providence Rest is a healthcare organization registered as Skilled Nursing Facility in Bronx, NY, holding Type 2 (organization) NPI 1063411262 since 2005. The authorized official on file is Susan Steinberg, Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063411262 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Providence Rest |
| Practice address | 3304 WATERBURY AVE, Bronx, NY, 10465 |
| Phone | 7189313000 |
| Fax | 7185148447 |
| Enumeration date | 2005-07-19 |
| Last updated in NPPES | 2015-07-08 |
Authorized official
| Name | Susan Steinberg |
|---|---|
| Title | Administrator |
| Phone | 7189313000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 385H00000X | Respite Care | Secondary | 7000306N | NY |
| 314000000X | Skilled Nursing Facility | Primary | 7000306N | NY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1216 | Other | NY | FACILITY |
| 007381 | Other | NY | BLUE CROSS/ BLUE SHIELD |
| 00309357 | Medicaid | NY | — |
| 01133297 | Medicaid | NY | — |
Copy-ready billing details
Provider: Providence Rest NPI: 1063411262 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 3304 WATERBURY AVE, Bronx, NY, 10465
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1063597631 | Providence Rest Adult Day Health Care | Organization | Adult Day Care Clinic/Center | Bronx, NY |
| 1871754861 | Providence Rest Outpatient Rehabilitation | Organization | Skilled Nursing Facility | Bronx, NY |
| 1689817157 | Michelle Tolentino | Individual | Physical Therapist | Bronx, NY |
| 1679855241 | Jane Demonteverde | Individual | Physical Therapist | Bronx, NY |
| 1588106645 | Stanley Jean | Individual | Registered Respiratory Therapist | Bronx, NY |
| 1477105724 | Adrianna Manzella | Individual | Speech-Language Pathologist | Bronx, NY |
| 1891328407 | Chiffina Robinson | Individual | Occupational Therapist | Bronx, NY |
| 1639932015 | May Lenette Digamo | Individual | Registered Nurse | Bronx, NY |
Verify this record
Cross-check NPI 1063411262 against the authoritative CMS record: view Providence Rest on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Providence Rest?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2015-07-08.