Organization Active NPI

Jamaica Hospital Nursing Home Co Inc

Doing business as Trump Pavilion

  • Skilled Nursing Facility
  • Jamaica, NY
National Provider Identifier
1407841802
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7003346N Issued in NY
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00308952MedicaidNY
308952MedicaidNY

Other names 1

  • Trump Pavilion Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 IncCCN 335436 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
226220.0 residents per day on average
Penalties (3 years)
1Fines totaling $8,788

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0886525Jamaica Hospital Nursing Home Co Inc89-40 135TH Street, Jamaica, NY 11418Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Antonietta Morisco Individual Corporate DirectorBoard of Trustees Jan 1, 2014
Robert W Koop Individual Corporate DirectorTrustee Board Member Jan 1, 1999
Thomas Younghans Individual Corporate Director Jul 4, 2014
Operational/Managerial Control Jul 4, 2014
Neil Foster Phillips Individual Corporate DirectorTrustee Board Member Jan 26, 2005
Lisa Garcia Individual Corporate DirectorController Sep 1, 2007
Walter Cook Individual Corporate DirectorTrustee Board Member Jan 1, 1980
Anthony S Dimaria Individual Corporate DirectorVP and Medical Director May 1, 1992
Mounir Doss Individual Corporate OfficerChief Financial Officer Jan 1, 2007
Bruce Flanz Individual Corporate OfficerPresident & Ceo Apr 12, 2011
Timothy Dufficy Individual Corporate DirectorBoard of Trustees 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.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Verify at the official NPI Registry.