QUEEN OF PEACE RESIDENCE
NPI 1306934732
Skilled Nursing Facility in Queens Village, NY

Q: What is Home For The Aged Of The Little Sisters Of The Poor's specialty?

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

Q: What quality rating does Home For The Aged Of The Little Sisters Of The Poor have?

CMS rates Queen Of Peace Residence 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since October 11, 2006CLIA 33D0654069 · Waiver

5/5

Overall Rating

110-30 221ST STREET, QUEENS VILLAGE, NY 11429(718) 464-1800 Get Directions Write a Review

NPPES record last updated: October 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Queen Of Peace Residence NPPES

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

QUEEN OF PEACE RESIDENCE (NPI 1306934732) is a healthcare organization registered as a skilled nursing facility in Queens Village, New York and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Celine Vadukkoot, Ceo And Administrator, as its authorized official.

NPPES Registry Identity

NPI1306934732

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NameHOME FOR THE AGED OF THE LITTLE SISTERS OF THE POOR

Location Address110-30 221ST STREETQueens Village, NY 11429-2513

Mailing Address110-30 221st StreetQueens Village, NY 11429-2513 · (718) 464-1800

Phone(718) 464-1800

Organization SubpartNo

Authorized OfficialCeline VadukkootCeo And Administrator · (718) 464-1800

Enumeration DateOctober 11, 2006

Last NPPES UpdateOctober 26, 2016

✔ NPI 1306934732 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 · 7003303N

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.

110-30 221ST STREET, Queens Village, NY 11429

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Other Names 1

Doing Business AsQueen Of Peace Residence

Other Identifiers 3

Medicare OSCAR/certification335606NY

Medicare NSC1184970001NY

Medicaid00311495NY

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 33D0654069

Queen Of Peace Residence · Queens Village, NY

Active · expires Mar 26, 2027

CLIA Number33D0654069

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 1994

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Erik K. Johnson

Laboratory Phone(718) 464-1800

Laboratory LocationQueen Of Peace Residence110-30 221st Street, Queens Village, NY 11429

CLIA data matches this NPI record on: Address Name Phone

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

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Queen Of Peace Residence (CMS certification number 335606), from CMS Care Compare.

Queen Of Peace Residence

Nursing home · Queens Village, NY

5/5 CMS Overall Rating

OwnershipNon profit - Corporation

CMS Certification Number335606

Certified Beds53 beds35 residents per day on average

Medicare & Medicaid Participant SinceJanuary 1, 1977

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

3/5

Long-Stay Quality

Quality of care delivered to long-term residents.

3/5

Staffing

Based on nursing staff hours relative to resident needs.

5/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

11.33

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 3.94 · LPN 0.28 · RN 2.08

6.3 hrs per resident per day

Weekend Nurse Staffing

5.82 hrs per resident per day

Physical Therapist Staffing

0.08 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

44.1%

Registered Nurse Turnover

43.8%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Fines

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Home For The Aged Of The Little Sisters Of The Poor's NPI number?

The NPI number for Home For The Aged Of The Little Sisters Of The Poor is 1306934732. It was assigned to this organization in the NPPES registry on October 11, 2006. The provider is doing business as Queen Of Peace Residence.

Where is Home For The Aged Of The Little Sisters Of The Poor located?

Home For The Aged Of The Little Sisters Of The Poor is located at 110-30 221st Street, Queens Village, NY 11429. The listed phone number is (718) 464-1800.

What is Home For The Aged Of The Little Sisters Of The Poor's specialty?

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

Does Home For The Aged Of The Little Sisters Of The Poor hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0654069) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Home For The Aged Of The Little Sisters Of The Poor a Medicare-certified nursing home?

Yes. Queen Of Peace Residence is a Medicare-certified nursing home with 53 certified beds.

What quality rating does Home For The Aged Of The Little Sisters Of The Poor have?

CMS rates Queen Of Peace Residence 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Home For The Aged Of The Little Sisters Of The Poor was last updated on October 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.