NPIMap

Organization Active NPI

Linden House Community Residence

  • Case Management Agency
  • Brooklyn, NY
National Provider Identifier
1487802153
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
01305004 Issued in NY
Legal business name
LINDEN HOUSE COMMUNITY RESIDENCE
Practice address
198 Linden Blvd
Brooklyn, NY 11226-3627
Phone
(718) 856-6867
NPI assigned
Sep 5, 2008
Organization subpart
Yes
Parent organization
INSTITUTE FOR COMMUNITY LIVING, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Authorized official

Name
Mr. Dewey Howard
Title
C F O
Phone
(212) 385-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 01305004 NY Primary

Addresses

Primary practice location

198 Linden Blvd
Brooklyn, NY 11226-3627

Mailing address

40 Rector St
New York, NY 10006-1705
Phone (212) 385-3030

Other identifiers 1

IdentifierTypeStateIssuer
01305004MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Icl Individual Support Services35 organizations share this tax ID, including this one
Part of
Icl Individual Support Services

Other organizations with this tax ID 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1487802153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 RECTOR ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061705",
            "telephone_number": "212-385-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112263627",
            "telephone_number": "718-856-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDEN HOUSE COMMUNITY RESIDENCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INSTITUTE FOR COMMUNITY LIVING, INC.",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "DEWEY",
        "authorized_official_title_or_position": "C F O",
        "authorized_official_telephone_number": "212-385-3030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "01305004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01305004",
            "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 Sep 5, 2008; 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.