Organization Active NPI

Rebuilding the Black Nuclear Family

  • Mental Illness Community Based Residential Treatment Facility
  • Brooklyn, NY
National Provider Identifier
1083415368
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
REBUILDING THE BLACK NUCLEAR FAMILY
Practice address
350 Snediker Ave Apt 204
Brooklyn, NY 11207-4521
Phone
(929) 709-7718
NPI assigned
Mar 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Timothy EvansNPI 1578388278
Title
Founder and Ceo
Phone
(929) 709-7718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

350 Snediker Ave Apt 204
Brooklyn, NY 11207-4521

Mailing address

350 Snediker Ave Apt 204
Brooklyn, NY 11207-4521
Phone (929) 709-7718

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1083415368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SNEDIKER AVE APT 204",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112074521",
            "telephone_number": "929-709-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SNEDIKER AVE APT 204",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112074521",
            "telephone_number": "929-709-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBUILDING THE BLACK NUCLEAR FAMILY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "929-709-7718"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 21, 2025; 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.