NPI 1033611736

The W Group at New Broadview, LLC

Organisation Adult Care Home Facility Staten Island, NY

Practice location

Address: 70 Father Capodanno Blvd, Staten Island, NY 10305-4803
Phone: (718) 840-3355
Fax: (347) 436-8045
Mailing address: 2357 60th St, Brooklyn, NY 11204-2689

Authorised official

Name: Jennifer Grajales
Title: Project Manager
Phone: (718) 840-3355

Registered specialties (3)

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 610-F-067 (NY)

Other Custodial Care Facility providers in New York →

Home Health Agency

Agencies Taxonomy 251E00000X Licence 2670L001 (NY)

Other Home Health providers in New York →

Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 610-F-067 (NY)

Other Assisted Living Facility providers in New York →

Registry record

NPI: 1033611736
Entity type: Organization
NPI issued: 8 Mar 2018
Record last updated: 15 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.