Organization Active NPI

Mandisa Hall

  • Home Health Agency
  • Brooklyn, NY
National Provider Identifier
1144563289
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
666542 Issued in NY
Legal business name
MANDISA HALL
Practice address
511 Cleveland St
Brooklyn, NY 11208-2119
Phone
(718) 235-1340
NPI assigned
Mar 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Mandisa Janet Hall, REGISTERED NURSENPI 1366804353
Title
Registered Nurse
Phone
(718) 235-1340

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
Home Health Agency 251E00000X 666542 NY Primary

Addresses

Primary practice location

511 Cleveland St
Brooklyn, NY 11208-2119

Mailing address

511 Cleveland St
Brooklyn, NY 11208-2119
Phone (718) 235-1340

Other names 1

  • Pioneer Homecare Other name

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": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1144563289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 CLEVELAND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112082119",
            "telephone_number": "718-235-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 CLEVELAND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112082119",
            "telephone_number": "718-235-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDISA HALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MANDISA",
        "authorized_official_middle_name": "JANET",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "718-235-1340",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "666542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Homecare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 27, 2013; 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.