Organization Active NPI

Village Center for Care

  • Skilled Nursing Facility
  • New York, NY
National Provider Identifier
1396743464
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7002335N Issued in NY
Legal business name
VILLAGE CENTER FOR CARE
Practice address
214 West Houston St
New York, NY 10014
Phone
(212) 337-9407
Fax
(212) 255-9459
NPI assigned
Jul 12, 2005
Organization subpart
Yes
Parent organization
VILLAGE CENTER FOR CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Authorized official

Name
Debra Tirado
Title
Cfo
Phone
(212) 337-5710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 7002335N NY Primary

Addresses

Primary practice location

214 West Houston St
New York, NY 10014

Mailing address

120 Broadway Ste 2840
New York, NY 10271-0009
Phone (212) 337-5816

Other identifiers 1

IdentifierTypeStateIssuer
00312496MedicaidNY

Other names 1

  • Village Nursing Home Doing business as

National Provider Directory

National Provider Directory
Part of
Village Nursing Home Inc

Locations

83 Coffey St
Brooklyn, NY 11231
Phone (718) 254-9815

13017 23rd Ave
College Point, NY 11356
Phone (718) 254-9815

607 Hudson St
New York, NY 10014
Phone (212) 255-3003

154 Christopher St
#2
New York, NY 10014
Phone (212) 337-5600

112 Charles St
New York, NY 10014
Phone (212) 337-5600

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1396743464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BROADWAY STE 2840",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102710009",
            "telephone_number": "212-337-5816",
            "fax_number": "212-337-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 WEST HOUSTON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10014",
            "telephone_number": "212-337-9407",
            "fax_number": "212-255-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE CENTER FOR CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VILLAGE CENTER FOR CARE",
        "enumeration_date": "2005-07-12",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "TIRADO",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "212-337-5710"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7002335N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00312496",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Village Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.