SOUTH SHORE MANOR HOME FOR ADULTS
NPI 1457069270
Custodial Care Facility - Adult Care Home in Brooklyn, NY

Q: What is South Shore Manor Home For Adults's NPI number?

The NPI number for South Shore Manor Home For Adults is 1457069270. It was assigned to this organization in the NPPES registry on November 10, 2022. The provider is doing business as New South Shore Manor.

Q: What is South Shore Manor Home For Adults's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since November 10, 2022

1041 E 83RD ST, BROOKLYN, NY 11236(718) 241-7035 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About South Shore Manor Home For Adults NPPES

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

SOUTH SHORE MANOR HOME FOR ADULTS (NPI 1457069270), doing business as New South Shore Manor, is a healthcare organization registered as an adult care home in Brooklyn, New York and active in the NPI registry since November 2022. The organization lists Jennifer Grajales, Director Of Special Projects, as its authorized official.

NPPES Registry Identity

NPI1457069270

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameSOUTH SHORE MANOR HOME FOR ADULTS

Location Address1041 E 83RD STBrooklyn, NY 11236-4225

Mailing Address2357 60th StBrooklyn, NY 11204-2689

Phone(718) 241-7035

Organization SubpartNo

Authorized OfficialJennifer GrajalesDirector Of Special Projects · (347) 988-4535

Enumeration DateNovember 10, 2022

NPPES CertifiedNovember 10, 2022

✔ NPI 1457069270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

1041 E 83RD ST, Brooklyn, NY 11236

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Other Names 1

Doing Business AsNew South Shore Manor

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAYO JOHNSON SLP

Speech-Language Pathologist

1041 E 83RD ST
BROOKLYN, NY 11236

Kings County (718) 241-7035

CHANDAN PETER GOMES MD

Internal Medicine

1041 E 83RD ST
BROOKLYN, NY 11236

Kings County (718) 709-0940

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 South Shore Manor Home For Adults's NPI number?

The NPI number for South Shore Manor Home For Adults is 1457069270. It was assigned to this organization in the NPPES registry on November 10, 2022. The provider is doing business as New South Shore Manor.

Where is South Shore Manor Home For Adults located?

South Shore Manor Home For Adults is located at 1041 E 83rd St, Brooklyn, NY 11236. The listed phone number is (718) 241-7035.

What is South Shore Manor Home For Adults's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for South Shore Manor Home For Adults was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.