NPIMap

Organization Active NPI

Concord Nursing & Rehabilitation Center

  • Adult Day Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1508033556
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
261QA0600X Issued in NY
Legal business name
CONCORD NURSING & REHABILITATION CENTER
Doing business as
Concord Nursing Home
Practice address
300 Madison St
Brooklyn, NY 11216-1509
Phone
(718) 636-7500
Fax
(718) 636-7518
NPI assigned
May 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Mrs. Lillie M Bryant-Hobbs, MHS
Title
Executive Director
Phone
(718) 636-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 261QA0600X NY Primary

Addresses

Primary practice location

300 Madison St
Brooklyn, NY 11216-1509

Mailing address

300 Madison St
Brooklyn, NY 11216-1509
Phone (718) 636-7500

Other identifiers 1

IdentifierTypeStateIssuer
02349306MedicaidNY

Other names 1

  • Concord Nursing Home Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1508033556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MADISON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161509",
            "telephone_number": "718-636-7500",
            "fax_number": "718-636-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MADISON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161509",
            "telephone_number": "718-636-7500",
            "fax_number": "718-636-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD NURSING & REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "BRYANT-HOBBS",
        "authorized_official_first_name": "LILLIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-636-7500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHS"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": "261QA0600X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02349306",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 9, 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.