Active NPI
Norwegian Christian Home and Health Center
- Skilled Nursing Facility
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 7001316N
- Legal business name
- NORWEGIAN CHRISTIAN HOME AND HEALTH CENTER
- Practice address
- 1250 67TH St
Brooklyn, NY 11219-5921 - Phone
- (718) 232-2322
- Fax
- (718) 331-5111
- NPI assigned
- Jan 20, 2006
- Last updated
- Sep 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Restaino
- Title
- Executive Director
- Phone
- (718) 306-5642
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 7001316N | NY | Primary |
Addresses
Primary practice location
1250 67TH St
Brooklyn, NY 11219-5921
Mailing address
1250 67TH St
Brooklyn, NY 11219-5921
Phone (718) 232-2322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00308498 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081210000517 | NY | Part A Provider - Skilled Nursing Facility | 3870654734 | Practice locations: Brooklyn, NY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1104806454. Details of each certification follow.
Skilled nursing facility certification: CCN 335523
- Legal name
- NORWEGIAN CHRISTIAN HOME AND HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1976
- Last certification
- Aug 16, 2024
- Beds
- 135
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Jun 15, 1913 in NY
- Enrollment address
- 1250 67TH St
Brooklyn, NY 11219-5921 - Nursing home name
- NORWEGIAN CHRISTIAN HOME AND HEALTH CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Norwegian Christian Home And Health Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jul 1, 1976
- Medicare certification status
- Active
- Certified beds
- 135
National Provider Directory
National Provider Directory- Tax ID family
- Norwegian Christian HHCC Alp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Brooklyn, NY
- NPI 1528038429
Locations
1270 67th St
Brooklyn, NY 11219
Phone (718) 232-2322
Ownership & related parties
All disclosed owners & managing parties 14
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Lori Aavik | Corporate Officer | Jan 1, 2006 | 100% |
| Anthony Restaino | Corporate Officer | Mar 19, 2018 | |
| Torry Berntsen | Corporate Director | Jan 1, 2007 | 100% |
| Arlene Rutuelo | Corporate Officer | Jan 1, 2008 | 100% |
| Stanley Ramsdal | Corporate Director | Jan 1, 2008 | 100% |
| William Dietrich | Corporate Director | Jan 1, 2014 | 100% |
| Daniel M Reeve | Corporate Director | Jan 1, 2010 | 100% |
| Richard C Thompson | Corporate Director | Jan 1, 2003 | 100% |
| Rebecca E Daniel | Corporate Officer | Jan 1, 2010 | 100% |
| Edward T Johannesen | Corporate Director | Jan 1, 2012 | 100% |
| Eleanor Bensen | Corporate Director | Jan 1, 1993 | 100% |
| George Jensen | 5% Or Greater Direct Ownership Interest | Jan 1, 2000 | |
| Corporate Officer | Jan 1, 2000 | 100% | |
| Corporate Director | Jan 1, 2000 | ||
| Operational/Managerial Control | Jan 1, 2000 | ||
| Arnold T Oftedal | Corporate Director | Jan 1, 2014 | 100% |
| Ralph Aavik | Corporate Officer | Jan 1, 2006 | 100% |
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Broolkyn, NY
- NPI 1659349553
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1851514608
-
- Infectious Disease Physician
- Brooklyn, NY
- NPI 1598862484
-
- Internal Medicine Physician
- Allentown, PA
- NPI 1215970769
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726185600000",
"number": "1104806454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 67TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112195921",
"telephone_number": "718-232-2322",
"fax_number": "718-331-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 67TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112195921",
"telephone_number": "718-232-2322",
"fax_number": "718-331-5111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORWEGIAN CHRISTIAN HOME AND HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-20",
"last_updated": "2024-09-13",
"certification_date": "2024-09-05",
"status": "A",
"authorized_official_last_name": "RESTAINO",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "718-306-5642"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "7001316N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00308498",
"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 Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.