Southwest Brooklyn Health Home, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SOUTHWEST BROOKLYN HEALTH HOME, LLC

Practice address

4802 10TH Ave
Brooklyn, NY 11219-2916

Phone

(718) 283-7722

NPI assigned

Dec 20, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Karen Nelson, MD

Title

Executive Director

Phone

(718) 283-6470

Specialties & licenses 1

Addresses

Other names 1

• Brooklyn Health Home Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1023354933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 10TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192916",
            "telephone_number": "718-283-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 10TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192916",
            "telephone_number": "718-283-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST BROOKLYN HEALTH HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-283-6470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooklyn Health Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southern Dental
• Angela Grace Southern
• Joyce Lynn Southers, N.P.
• Southside Podiatry PC
• Southwest Brooklyn Dental Practice, PLLC
• Southwest Physical Therapy, P.C.
• Caroline Southwick
• Hannah Southworth
• Nektarios Souvaliotis
• Angela Souvenir

• Case Management Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.