Organization Active NPI

Fairview Adult Day Care Center

  • Adult Care Home Facility
  • Brooklyn, NY
National Provider Identifier
1114474160
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
7003375N Issued in NY
Legal business name
FAIRVIEW ADULT DAY CARE CENTER
Practice address
1444 E 99TH St
Brooklyn, NY 11236-5523
Phone
(718) 263-4600
Fax
(718) 263-8947
NPI assigned
Sep 7, 2016
Organization subpart
Yes
Parent organization
FAIRVIEW NURSING CARE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Ms. Rahchel Hoffert
Title
Administrator
Phone
(718) 263-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 7003375N NY Primary

Addresses

Primary practice location

1444 E 99TH St
Brooklyn, NY 11236-5523

Mailing address

1440 E 99TH St
Brooklyn, NY 11236-5523
Phone (718) 263-4600

Other identifiers 1

IdentifierTypeStateIssuer
1194733642MedicaidNY

National Provider Directory

National Provider Directory
Part of
Fairview Adult Day Care Center

Locations

1440 E 99th St
Brooklyn, NY 11236

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1114474160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 E 99TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365523",
            "telephone_number": "718-263-4600",
            "fax_number": "718-263-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 E 99TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365523",
            "telephone_number": "718-263-4600",
            "fax_number": "718-263-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW ADULT DAY CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAIRVIEW NURSING CARE CENTER",
        "enumeration_date": "2016-09-07",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "HOFFERT",
        "authorized_official_first_name": "RAHCHEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-263-4600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NY",
            "license": "7003375N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194733642",
            "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 Dec 14, 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.