CATH CHAR NGHBHD SVS INC HOC ICF NPI 1689705162

Intermediate Care Facility, Mentally Retarded in Brooklyn, NY

NPI 1689705162 Organization Intermediate Care Facility, Mentally Ret...

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 NameCATH CHAR NGHBHD SVS INC HOC ICF
Provider Location Address174 JAVA ST BROOKLYN, NY 11222
Provider Mailing Address191 JORALEMON STREET 9TH FLOOR BROOKLYN, NY 11201
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date03-08-2007
Last Update Date07-09-2008


Primary Taxonomy

Taxonomy Code315P00000X
ClassificationIntermediate Care Facility, Mentally Retarded
TypeNursing & Custodial Care Facilities
License StateNY
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

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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



Authorized Official

Authorized Official NameMS. DONNA CORRADO
Authorized Official TitleEXECUTIVE SECRETARY
Authorized Official Phone(718) 722-6123

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
00356698MEDICAID (05)NY

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811443260UNITED CEREBRAL PALSY ASSOC OF NYS INC.
Organization
Intermediate Care Facility, Mentally Retarded174 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.