Caritas Health Care, Inc.

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

7003027H Issued in NY

Legal business name

CARITAS HEALTH CARE, INC.

Doing business as

St Johns Queens Hospital / Mary Immaculate Hospital

Practice address

90-02 Queens Boulevard
Elmhurst, NY 11373-4941

Phone

(718) 558-1000

Fax

(718) 558-1818

NPI assigned

Sep 20, 2006

Last updated

Aug 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard J Sarli

Title

Chief Financial Officer

Phone

(718) 830-2712

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• St Johns Queens Hospital / Mary Immaculate Hospital Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194822312. Details of each certification follow.

• CCN 330357 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 330357

Legal name

CARITAS HEALTH CARE, INC

Certification status

Terminated Voluntary: merger or closure, Mar 6, 2009

Provider type (POS)

Hospital – Short-term

Participating since

Oct 1, 1969

Last certification

Aug 22, 2006

Beds

611

Ownership / control type

Church

Facility address

90-02 Queens Boulevard
Elmhurst, NY 11373

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1194822312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-25 QUEENS BOULEVARD",
            "address_2": "3RD FLOOR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744511",
            "telephone_number": "718-830-2711",
            "fax_number": "718-830-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90-02 QUEENS BOULEVARD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734941",
            "telephone_number": "718-558-1000",
            "fax_number": "718-558-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARITAS HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "SARLI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "718-830-2712"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "7003027H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00243861",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244124",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Johns Queens Hospital / Mary Immaculate Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Acute Care Hospital in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• General Acute Care Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.