NPIMap

Organization Active NPI

Heartshare Human Services of New York

  • Intellectual Disabilities Intermediate Care Facility
  • Brooklyn, NY
National Provider Identifier
1063700524
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
070063354 Issued in NY
Legal business name
HEARTSHARE HUMAN SERVICES OF NEW YORK
Practice address
131 Bay 19TH St
3Rd Floor
Brooklyn, NY 11214-4607
Phone
(718) 676-5324
Fax
(718) 232-2359
NPI assigned
Jul 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Authorized official

Name
Mr. William Guarinello
Title
President and Ceo
Phone
(718) 422-4299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 070063354 NY Primary

Addresses

Primary practice location

131 Bay 19TH St
3Rd Floor
Brooklyn, NY 11214-4607

Mailing address

12 Metrotech Ctr
29TH Floor
Brooklyn, NY 11201-3632
Phone (718) 422-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1063700524. Details of each certification follow.

  • CCN 33H464 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details
  • CCN 33H465 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 33H464

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HEARTSHARE HUMAN SERVICES
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
May 28, 2011
Last certification
Mar 6, 2025
Beds
7
Ownership / control type
Private (non-profit)
Facility address
131 Bay 19TH Street, 1St Floor
Brooklyn, NY 11214

Intermediate care facility for individuals with intellectual disabilities certification: CCN 33H465

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HEARTSHARE HUMAN SERVICES
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jun 3, 2011
Last certification
Dec 17, 2025
Beds
7
Ownership / control type
Private (non-profit)
Facility address
131 Bay 19TH Street
Brooklyn, NY 11214

National Provider Directory

National Provider Directory
Tax ID family
Heartshare Human Services of New York26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Locations

131 Bay 19th St
Fl 3
Brooklyn, NY 11214
Phone (718) 676-5324

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1063700524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 METROTECH CTR",
            "address_2": "29TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013632",
            "telephone_number": "718-422-4200",
            "fax_number": "718-422-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 BAY 19TH ST",
            "address_2": "3RD FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144607",
            "telephone_number": "718-676-5324",
            "fax_number": "718-232-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTSHARE HUMAN SERVICES OF NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "GUARINELLO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "718-422-4299",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NY",
            "license": "070063354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.