NPIMap

Organization Active NPI

St.Vincent Services Ira

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Brooklyn, NY
National Provider Identifier
1053583229
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
02112729 Issued in NY
Legal business name
ST.VINCENT SERVICES IRA
Practice address
66 Boerum PL
Brooklyn, NY 11201-5705
Phone
(718) 522-3700
Fax
(718) 488-7618
NPI assigned
Mar 28, 2008
Organization subpart
Yes
Parent organization
ST.VINCENT SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Jeffrey Benenati
Title
Controller
Phone
(718) 522-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 02112729 NY Primary

Addresses

Primary practice location

66 Boerum PL
Brooklyn, NY 11201-5705

Mailing address

1441 E 92ND St
Brooklyn, NY 11236-5007
Phone (718) 522-3700

Other identifiers 1

IdentifierTypeStateIssuer
02112729MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Stvincent Services Inc14 organizations share this tax ID, including this one
Part of
Stvincent Services Inc

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1053583229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 E 92ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365007",
            "telephone_number": "718-522-3700",
            "fax_number": "718-488-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BOERUM PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015705",
            "telephone_number": "718-522-3700",
            "fax_number": "718-488-7618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.VINCENT SERVICES IRA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST.VINCENT SERVICES INC",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "BENENATI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "718-522-3700"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "02112729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02112729",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.