CARE FOR THE HOMELESS JACKSON AVENUE FAMILY RESIDENCE
NPI 1306182076
Clinic/Center - Federally Qualified Health Center (FQHC) in Bronx, NY
About Care For The Homeless Jackson Avenue Family Residence NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARE FOR THE HOMELESS JACKSON AVENUE FAMILY RESIDENCE (NPI 1306182076) is a healthcare organization registered as a federally qualified health center (fqhc) in Bronx, New York and active in the NPI registry since December 2012. The organization lists Debbian Fletcher Blake, Assistant Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Care For The Homeless Jackson Avenue Family Residence is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
28Medicare enrollment records show 28 clinicians reassign Medicare billing to Care For The Homeless Jackson Avenue Family Residence, which bills Medicare for the services they deliver. Of these, 17 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 28Bronx, NY 10458
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Care For The Homeless's NPI number?
The NPI number for Care For The Homeless is 1306182076. It was assigned to this organization in the NPPES registry on December 27, 2012. The provider is doing business as Care For The Homeless Jackson Avenue Family Residence.
Where is Care For The Homeless located?
Care For The Homeless is located at 691 E 138th St, Bronx, NY 10454. The listed phone number is (718) 993-8900.
What is Care For The Homeless's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Care For The Homeless enrolled in Medicare?
Yes. Care For The Homeless is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Care For The Homeless?
According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 5 Medicare specialties reassign their Medicare billing to Care For The Homeless. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (12), Family Practice (8) and Internal Medicine (4). Of these, 17 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Care For The Homeless was last updated on April 15, 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.
# Care For The Homeless Jackson Avenue Family Residence · NPI 1306182076
Federally Qualified Health Center (FQHC) organization in Bronx, New York. Organization record, active in the CMS NPPES registry since December 27, 2012.
## Identity
- **NPI:** 1306182076 (Entity type: Organization)
- **Enumerated:** December 27, 2012
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Care For The Homeless
- **Organization subpart:** No
- **Authorized official:** Debbian Fletcher Blake, ASSISTANT EXECUTIVE DIRECTOR
## Practice location
- **Address:** 691 E 138TH ST, Bronx, NY 10454-3307
- **Phone:** (718) 993-8900 · **Fax:** (212) 366-1773
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 28 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (12), Family Practice (8), Internal Medicine (4); 17 practice within 10 miles; [full list](https://npiprofile.com/npi/1306182076/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 15, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1306182076) · Data from the CMS NPPES public registry.