Organization Active NPI

Concord Nursing Home

  • Skilled Nursing Facility
  • Brooklyn, NY
National Provider Identifier
1467486845
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7001348N Issued in NY
Legal business name
CONCORD NURSING HOME
Practice address
300 Madison Street
Concord Nursing and Rehabilitation Center
Brooklyn, NY 11216
Phone
(718) 636-7500
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lillie Bryant-Hobbs, LNHA
Title
Administrator
Phone
(718) 636-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 7001348N NY Primary

Addresses

Primary practice location

300 Madison Street
Concord Nursing and Rehabilitation Center
Brooklyn, NY 11216

Mailing address

300 Madison Street
Concord Nursing and Rehabilitation Center
Brooklyn, NY 11216
Phone (718) 636-7500

Other identifiers 1

IdentifierTypeStateIssuer
7001348NOtherNYOPERATING CERTIFICATE

National Provider Directory

National Provider Directory
Tax ID family
Concord Nursing Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

300 Madison St
Brooklyn, NY 11216
Phone (718) 250-6100

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467486845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MADISON STREET",
            "address_2": "CONCORD NURSING AND REHABILITATION CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11216",
            "telephone_number": "718-636-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MADISON STREET",
            "address_2": "CONCORD NURSING AND REHABILITATION CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11216",
            "telephone_number": "718-636-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRYANT-HOBBS",
        "authorized_official_first_name": "LILLIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-636-7500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7001348N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPERATING CERTIFICATE",
            "identifier": "7001348N",
            "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 Aug 22, 2020; 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.