Active NPI
Jamaica Hospital Nursing Home Co Inc
Doing business as Trump Pavilion
- Skilled Nursing Facility
- Jamaica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 7003346N
- Legal business name
- JAMAICA HOSPITAL NURSING HOME CO INC
- Doing business as
- Trump Pavilion
- Practice address
- 89-40 135St Street
Jamaica, NY 11418-2898 - Phone
- (718) 206-5101
- Fax
- (718) 206-5130
- NPI assigned
- Sep 13, 2005
- Last updated
- Sep 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Younghans
- Title
- Vice President
- Phone
- (718) 206-5100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 7003346N | NY | Primary |
Addresses
Primary practice location
89-40 135St Street
Jamaica, NY 11418-2898
Mailing address
89-40 135St Street
Jamaica, NY 11418-2898
Phone (718) 206-5101
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00308952 | Medicaid | NY | |
| 308952 | Medicaid | NY |
Other names 1
- Trump Pavilion
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120208000828 | NY | Part A Provider - Skilled Nursing Facility | 3173780798 | Practice locations: Jamaica, NY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1407841802. Details of each certification follow.
Skilled nursing facility certification: CCN 335436
- Legal name
- JAMAICA HOSPITAL NURSING HOME CO INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1975
- Last certification
- Feb 25, 2025
- Beds
- 226
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Jan 22, 1971 in NY
- Enrollment address
- 8940 135TH St
Jamaica, NY 11418-2828 - Nursing home name
- JAMAICA HOSPITAL NURSING HOME CO INC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Jamaica Hospital Nursing Home Co Inc
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 1, 1975
- Medicare certification status
- Active
- Certified beds
- 226
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0886525 | Jamaica Hospital Nursing Home Co Inc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
2400 Balfour Rd
Ste 201
Brentwood, CA 94513
Phone (925) 308-8112
Ownership & related parties
All disclosed owners & managing parties 10
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Antonietta Morisco | Corporate Director | Jan 1, 2014 | |
| Robert W Koop | Corporate Director | Jan 1, 1999 | |
| Thomas Younghans | Corporate Director | Jul 4, 2014 | |
| Operational/Managerial Control | Jul 4, 2014 | ||
| Neil Foster Phillips | Corporate Director | Jan 26, 2005 | |
| Lisa Garcia | Corporate Director | Sep 1, 2007 | |
| Walter Cook | Corporate Director | Jan 1, 1980 | |
| Anthony S Dimaria | Corporate Director | May 1, 1992 | |
| Mounir Doss | Corporate Officer | Jan 1, 2007 | |
| Bruce Flanz | Corporate Officer | Apr 12, 2011 | |
| Timothy Dufficy | Corporate Director | Jan 1, 2014 |
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Geriatric Medicine (Internal Medicine) Physician
- Jamaica, NY
- NPI 1336397629
-
- Anesthesiology Physician
- Jamaica, NY
- NPI 1568428191
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1679594311
-
- Internal Medicine Physician
- Jamaica, NY
- NPI 1033179080
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Santa Clarita, CA
- NPI 1497959332
Ophthalmology
-
- Internal Medicine Physician
- Mission Hills, CA
- NPI 1225292873
-
- Advanced Practice Midwife
- Santa Monica, CA
- NPI 1477923076
-
- Family Nurse Practitioner
- Sacramento, CA
- NPI 1538545272
-
- Neurology Physician
- Glendale, CA
- NPI 1013356344
-
- Nurse Practitioner
- Emeryville, CA
- NPI 1740549286
-
- Family Medicine Physician
- Brentwood, CA
- NPI 1154357358
-
- Trauma Surgery Physician
- Orange, CA
- NPI 1932346004
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Jamaica, NY
- NPI 1336397629
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1407841802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89-40 135ST STREET",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114182898",
"telephone_number": "718-206-5101",
"fax_number": "718-206-5130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89-40 135ST STREET",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114182898",
"telephone_number": "718-206-5101",
"fax_number": "718-206-5130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMAICA HOSPITAL NURSING HOME CO INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-13",
"last_updated": "2025-09-02",
"certification_date": "2025-03-26",
"status": "A",
"authorized_official_last_name": "YOUNGHANS",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "718-206-5100"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "7003346N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00308952",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "308952",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Trump Pavilion",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.