NPIMap

Organization Active NPI

Cath Char Nghbhd SVS Sterling Icf

  • Intellectual Disabilities Intermediate Care Facility
  • Brooklyn, NY
National Provider Identifier
1205979374
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
CATH CHAR NGHBHD SVS STERLING ICF
Practice address
156 Midwood St
Brooklyn, NY 11225-5010
Phone
(718) 282-8045
Fax
(718) 469-2874
NPI assigned
Feb 15, 2007
Organization subpart
Yes
Parent organization
CATHOLIC CHARITIES NEIGHBORHOOD SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Ms. Donna Corrado
Title
Executive Secretary
Phone
(718) 722-6123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NY Primary

Addresses

Primary practice location

156 Midwood St
Brooklyn, NY 11225-5010

Mailing address

191 Joralemon St
9TH Floor
Brooklyn, NY 11201-4306
Phone (718) 722-6180

Other identifiers 1

IdentifierTypeStateIssuer
01128656MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Bffyrockaway Mental HLTH SV32 organizations share this tax ID, including this one
Part of
Bffyrockaway Mental HLTH SV

Other organizations with this tax ID 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1205979374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 JORALEMON ST",
            "address_2": "9TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014306",
            "telephone_number": "718-722-6180",
            "fax_number": "718-722-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 MIDWOOD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112255010",
            "telephone_number": "718-282-8045",
            "fax_number": "718-469-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATH CHAR NGHBHD SVS STERLING ICF",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC CHARITIES NEIGHBORHOOD SERVICES, INC",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "CORRADO",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "EXECUTIVE SECRETARY",
        "authorized_official_telephone_number": "718-722-6123",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01128656",
            "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 Jul 9, 2008; 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.