CATH CHAR NGHBHD SVS INC HOC ICF NPI 1689705162
Intermediate Care Facility, Mentally Retarded in Brooklyn, NY
About CATH CHAR NGHBHD SVS INC HOC ICF
Cath Char Nghbhd Svs Inc Hoc Icf is a provider established in Brooklyn, New York specializing in intermediate care facility, mentally retarded. The NPI number of Cath Char Nghbhd Svs Inc Hoc Icf is 1689705162 and was assigned on March 2007. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Ms. Donna Corrado (Executive Secretary)
| NPI | 1689705162 |
| Provider Name | CATH CHAR NGHBHD SVS INC HOC ICF |
| Provider Location Address | 174 JAVA ST BROOKLYN, NY 11222 |
| Provider Mailing Address | 191 JORALEMON STREET 9TH FLOOR BROOKLYN, NY 11201 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | Yes |
| Enumeration Date | 03-08-2007 |
| Last Update Date | 07-09-2008 |
Primary Taxonomy
| Taxonomy Code | 315P00000X |
| Classification | Intermediate Care Facility, Mentally Retarded |
| Type | Nursing & Custodial Care Facilities |
| License State | NY |
| Taxonomy Description | (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
Business Address
CATH CHAR NGHBHD SVS INC HOC ICF
174 JAVA ST
BROOKLYN, NY
ZIP 11222
Phone: (718) 383-2451
Mailing Address
CATH CHAR NGHBHD SVS INC HOC ICF
191 JORALEMON STREET
9TH FLOOR
BROOKLYN, NY
ZIP 11201
Phone: (718) 722-6180
Fax: (718) 722-6219
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 00356698 | MEDICAID (05) | NY |
Other Providers at the same location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1811443260 | UNITED CEREBRAL PALSY ASSOC OF NYS INC. Organization | Intermediate Care Facility, Mentally Retarded | 174 JAVA ST BROOKLYN, NY 11222 (718) 383-2451 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.