NPIMap

Organization Active NPI

Care for the Homeless

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
National Provider Identifier
1114263357
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
70000279R Issued in NY
Legal business name
CARE FOR THE HOMELESS
Practice address
1675 Broadway
Brooklyn, NY 11207-1495
Phone
(347) 294-2393
Fax
(212) 366-1773
NPI assigned
Dec 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Regina Flynn Olasin, DO
Title
Cmo
Phone
(212) 355-4459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 70000279R NY Primary

Addresses

Primary practice location

1675 Broadway
Brooklyn, NY 11207-1495

Mailing address

30 E 33Rd St
New York, NY 10016-5337
Phone (212) 366-4459

Other names 1

  • Care For The Homeless Bushwick Family Residence Doing business as

Medicare participation

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

Federally qualified health center certification: CCN 331174

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
CARE FOR THE HOMELESS BUSHWICK FAM RES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 6, 2015
Last certification
Oct 6, 2015
Ownership / control type
For profit – corporation
Facility address
1675 Broadway
Brooklyn, NY 11207

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1114263357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 33RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165337",
            "telephone_number": "212-366-4459",
            "fax_number": "212-366-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112071495",
            "telephone_number": "347-294-2393",
            "fax_number": "212-366-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE FOR THE HOMELESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "OLASIN",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "FLYNN",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "212-355-4459",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "70000279R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care For The Homeless Bushwick Family Residence",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Care For The Homeless Bushwick Family Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.