The Palm Beach Home for Adults

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE PALM BEACH HOME FOR ADULTS

Doing business as

The Waterford on the Bay

Practice address

2900 Bragg Street
Brooklyn, NY 11235

Phone

(718) 891-8400

Fax

(718) 568-3383

NPI assigned

May 13, 2015

Last updated

May 13, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

THE PALM BEACH HOME FOR ADULTSAs reported in NPPES

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

Authorized official

Name

Mrs. Lisa Sclafani

Title

Administrator

Phone

(718) 891-8400

Specialties & licenses 1

Addresses

Other names 1

• The Waterford on the Bay Doing business as

Part of

The Palm Beach Home for Adults

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1275911000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 BRAGG STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-891-8400",
            "fax_number": "718-568-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 BRAGG STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-891-8400",
            "fax_number": "718-568-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PALM BEACH HOME FOR ADULTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE PALM BEACH HOME FOR ADULTS",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "SCLAFANI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-891-8400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Waterford on the Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Assisted Living Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.