NPIMap

Organization Active NPI

Brooklyn United Methodist Church Home

  • Skilled Nursing Facility
  • Brooklyn, NY
National Provider Identifier
1164536660
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7001308N Issued in NY
Legal business name
BROOKLYN UNITED METHODIST CHURCH HOME
Practice address
1485 Dumont Ave
Brooklyn, NY 11208-4705
Phone
(718) 827-4500
Fax
(718) 827-7719
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Ms. Sandra D Pitterson
Title
Cfo
Phone
(718) 827-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 7001308N NY Primary

Addresses

Primary practice location

1485 Dumont Ave
Brooklyn, NY 11208-4705

Mailing address

1485 Dumont Ave
Brooklyn, NY 11208-4705
Phone (718) 827-4500

Other identifiers 2

IdentifierTypeStateIssuer
00310747MedicaidNY
02324225MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130123000092 NY Part A Provider - Skilled Nursing Facility 2264685379 Practice locations: Brooklyn, NY

Skilled nursing facility certification: CCN 335604

Legal name
BROOKLYN UNITED METHODIST CHURCH HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1977
Last certification
Jan 10, 2025
Beds
120
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 15, 1975 in NY
Enrollment address
1485 Dumont Ave
Brooklyn, NY 11208-4705
Nursing home name
BROOKLYN UNITED METHODIST CHURCH HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Brooklyn United Methodist Church HomeCCN 335604
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Aug 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120113.4 residents per day on average
Penalties (3 years)
1Fines totaling $10,039

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Brooklyn United Methodist Church Home-Adc Social3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Delroy Murdock Individual Corporate Director Apr 1, 2017 1%
Gertrude Nation Individual Corporate Director Apr 1, 2017 1%
Victor F Orriola Individual Operational/Managerial Control Dec 1, 2005
Adp of the SNF Apr 13, 2026
Sherwin Chue Individual Corporate DirectorBoard Member Apr 1, 1990
Cleolene Jones Individual Corporate DirectorBoard Member Apr 1, 2016
Sandra Pitterson-Cohen Individual Corporate OfficerCfo Dec 1, 2005
Operational/Managerial Control Dec 1, 2005
Adp of the SNF Dec 1, 2005
Wendy Modeste Individual Corporate DirectorBoard Member Apr 1, 2010 1%
Yoav Borsuk Individual Operational/Managerial Control Nov 25, 2022
Adp of the SNF Nov 25, 2022
Joanna F Hofmann Individual Corporate DirectorBoard Member Apr 1, 2010 1%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1164536660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 DUMONT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112084705",
            "telephone_number": "718-827-4500",
            "fax_number": "718-827-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 DUMONT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112084705",
            "telephone_number": "718-827-4500",
            "fax_number": "718-827-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN UNITED METHODIST CHURCH HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "PITTERSON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-827-4500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7001308N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00310747",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02324225",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.