Organization Active NPI

Brooklyn Community Housing & Services, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Brooklyn, NY
National Provider Identifier
1518091271
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
7403432 Issued in NY
Legal business name
BROOKLYN COMMUNITY HOUSING & SERVICES, INC.
Practice address
105 Carlton Ave
Brooklyn, NY 11205-2201
Phone
(718) 625-4545
Fax
(718) 625-0635
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jeff Nemetsky
Title
Executive Director
Phone
(718) 625-4545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 7403432 NY Primary

Addresses

Primary practice location

105 Carlton Ave
Brooklyn, NY 11205-2201

Mailing address

105 Carlton Ave
Brooklyn, NY 11205-2201
Phone (718) 625-4545

Other identifiers 1

IdentifierTypeStateIssuer
01304645MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518091271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CARLTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112052201",
            "telephone_number": "718-625-4545",
            "fax_number": "718-625-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CARLTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112052201",
            "telephone_number": "718-625-4545",
            "fax_number": "718-625-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN COMMUNITY HOUSING & SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEMETSKY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-625-4545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NY",
            "license": "7403432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01304645",
            "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.

Verify at the official NPI Registry.