Active NPI
Concord Nursing Home
- Skilled Nursing Facility
- Brooklyn, NY
National Provider Identifier
1467486845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 7001348N
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7001348N | Other | NY | OPERATING CERTIFICATE |
National Provider Directory
National Provider Directory- Tax ID family
- Concord Nursing Home
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Brooklyn, NY
- NPI 1508033556
-
- Skilled Nursing Facility
- Brooklyn, NY
- NPI 1619004827
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.