Organization Active NPI

Chapin Home for the Aging Adhc

  • Skilled Nursing Facility
  • Jamaica, NY
National Provider Identifier
1497080113
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7003351N Issued in NY
Legal business name
CHAPIN HOME FOR THE AGING ADHC
Practice address
165-01 Chapin Parkway
Jamaica, NY 11432-1897
Phone
(718) 739-2523
Fax
(718) 291-4992
NPI assigned
Oct 14, 2009
Organization subpart
Yes
Parent organization
CHAPIN HOME FOR THE AGINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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

Authorized official

Name
William B O'Hara, ESQ
Title
Comptroller
Phone
(718) 739-2523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 7003351N NY Primary

Addresses

Primary practice location

165-01 Chapin Parkway
Jamaica, NY 11432-1897

Mailing address

165-01 Chapin Parkway
Jamaica, NY 11432-1897
Phone (718) 739-2523

Other identifiers 1

IdentifierTypeStateIssuer
01652377MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Chapin Home for the Aging Adhc2 organizations share this tax ID, including this one
Part of
Chapin Home for the Aging Adhc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1497080113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165-01 CHAPIN PARKWAY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321897",
            "telephone_number": "718-739-2523",
            "fax_number": "718-291-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165-01 CHAPIN PARKWAY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321897",
            "telephone_number": "718-739-2523",
            "fax_number": "718-291-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPIN HOME FOR THE AGING ADHC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHAPIN HOME FOR THE AGING",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "O'HARA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "718-739-2523",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7003351N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01652377",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.