Organization Active NPI

St. Jeromes Health Services Corporation

  • Skilled Nursing Facility
  • Brooklyn, NY
National Provider Identifier
1083600969
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ST. JEROMES HEALTH SERVICES CORPORATION
Practice address
1740 84TH St
Brooklyn, NY 11214-2825
Phone
(718) 232-3666
Fax
(718) 259-9180
NPI assigned
Sep 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Lisa Denis-Schiano, LNHA
Title
Administrator
Phone
(718) 232-3666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NY Primary

Addresses

Primary practice location

1740 84TH St
Brooklyn, NY 11214-2825

Mailing address

1740 84TH St
Brooklyn, NY 11214-2825
Phone (718) 232-3666

Other identifiers 2

IdentifierTypeStateIssuer
01113226MedicaidNY
017335OtherNYEMPIRE BC & BS

Other names 1

  • Holy Family Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Holy Family Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083600969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 84TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142825",
            "telephone_number": "718-232-3666",
            "fax_number": "718-259-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 84TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142825",
            "telephone_number": "718-232-3666",
            "fax_number": "718-259-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JEROMES HEALTH SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DENIS-SCHIANO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-232-3666",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01113226",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC & BS",
            "identifier": "017335",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holy Family Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; 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.