NPIMap

Organization Active NPI

Providence Care Inc

  • Skilled Nursing Facility
  • Brooklyn, NY
National Provider Identifier
1467869602
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PROVIDENCE CARE INC
Practice address
835 Herkimer St
Brooklyn, NY 11233-3031
Phone
(718) 221-2600
NPI assigned
Jul 21, 2014
Last updated
Jan 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Leopold Friedman
Title
Board of Directors
Phone
(347) 461-2177

Specialties & licenses 1

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

Addresses

Primary practice location

835 Herkimer St
Brooklyn, NY 11233-3031

Mailing address

835 Herkimer St
Brooklyn, NY 11233-3031

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141022000099 NY Part A Provider - Skilled Nursing Facility 2961623640 Practice locations: Brooklyn, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467869602. Details of each certification follow.

Skilled nursing facility certification: CCN 335070

Legal name
PROVIDENCE CARE INC
Doing business as
BROOKLYN GARDENS NURSING & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
May 29, 2025
Beds
240
Ownership / control type
Limited Liability Corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 22, 2012 in NY
Enrollment address
835 Herkimer St
Brooklyn, NY 11233-3031
Nursing home name
BROOKLYN GARDENS NURSING & REHABILITATION CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Brooklyn Gardens Nursing & Rehabilitation CenterCCN 335070 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
240229.5 residents per day on average

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
33D2126456Providence Care Inc Dba Brooklyn Gardens835 Herkimer Street, Brooklyn, NY 11233Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Bishop Henry B Hucles Episcopal Nursing Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Israel Melnicke Individual Corporate DirectorBoard Member of the Board of Dir Feb 22, 2012
Robert Schuck Individual Operational/Managerial ControlChief Financial Officer Feb 22, 2012
Matthew Melnicke Individual Corporate DirectorBoard Member of the Board of Dir Feb 22, 2012
Michael Melnicke Individual Corporate OfficerCeo Feb 22, 2012
Corporate DirectorBoard Member of the Board of Dir Feb 22, 2012

Practitioners & affiliated clinicians

Practitioners 9

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 7

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": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1467869602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 HERKIMER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112333031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 HERKIMER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112333031",
            "telephone_number": "718-221-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "LEOPOLD",
        "authorized_official_title_or_position": "BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "347-461-2177"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.