Organization Active NPI

Mercy Home for Children, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Brooklyn, NY
National Provider Identifier
1386813772
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
MERCY HOME FOR CHILDREN, INC.
Practice address
114 Sixth Avenue
Brooklyn, NY 11217-4417
Phone
(718) 230-0898
Fax
(718) 230-0954
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Sr. Catherine Crumlish
Title
Executive Director
Phone
(718) 832-1075

Specialties & licenses 1

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

Addresses

Primary practice location

114 Sixth Avenue
Brooklyn, NY 11217-4417

Mailing address

243 Prospect Park W
Brooklyn, NY 11215-5807
Phone (718) 832-1075

Other identifiers 1

IdentifierTypeStateIssuer
00577757OtherNYMEDICAID PROVIDER ID #

National Provider Directory

National Provider Directory
Tax ID family
Mercy Home for Children Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

243 Prospect Park W
Brooklyn, NY 11215
Phone (718) 832-1075

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1386813772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 PROSPECT PARK W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155807",
            "telephone_number": "718-832-1075",
            "fax_number": "718-499-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 SIXTH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112174417",
            "telephone_number": "718-230-0898",
            "fax_number": "718-230-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOME FOR CHILDREN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "CRUMLISH",
        "authorized_official_first_name": "SR. CATHERINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-832-1075"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER ID #",
            "identifier": "00577757",
            "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 Feb 29, 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.