BLACK ICE PRO
NPI 1821238486
Day Training, Developmentally Disabled Services in Brooklyn, NY

Active since February 23, 2009
1001 EAST STREET, BROOKLYN, NY 11210(347) 240-8070 Get Directions Write a Review

NPPES record last updated: February 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Black Ice Pro NPPES

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

BLACK ICE PRO (NPI 1821238486) is a healthcare organization registered as a day training, developmentally disabled services in Brooklyn, New York and active in the NPI registry since February 2009. The organization lists Andre M Gibson, Manger, as its authorized official.

NPPES Registry Identity

NPI1821238486
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameBLACK ICE PRODUCTION
Location Address1001 EAST STREETBrooklyn, NY 11210
Mailing Address1001 E 37th StBrooklyn, NY 11210-3431 · 13472408070
Organization SubpartNo
Authorized OfficialAndre M GibsonManger · (347) 240-8070
Enumeration DateFebruary 23, 2009
NPI 1821238486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code251C00000X
License Licensed in NY · 071465614
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
Also ListedSpecial HospitalTaxonomy 284300000X
1001 EAST STREET, Brooklyn, NY 11210

Other Names 1

Doing Business AsBlack Ice Pro

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 Black Ice Production's NPI number?

The NPI number for Black Ice Production is 1821238486. It was assigned to this organization in the NPPES registry on February 23, 2009. The provider is doing business as Black Ice Pro.

Where is Black Ice Production located?

Black Ice Production is located at 1001 East Street, Brooklyn, NY 11210. The listed phone number is (347) 240-8070.

What is Black Ice Production's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Black Ice Production was last updated on February 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.