H.O.M.E.E. Clinic, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

7595430 Issued in NY

Legal business name

H.O.M.E.E. CLINIC, INC.

Practice address

695 E 170TH St
Bronx, NY 10456-2334

Phone

(718) 991-0071

Fax

(718) 893-5886

NPI assigned

Aug 10, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Eleanor Clarke, RN, MS

Title

Executive Director

Phone

(718) 991-0071

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1538351895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 E 170TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104562334",
            "telephone_number": "718-991-0071",
            "fax_number": "718-893-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 E 170TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104562334",
            "telephone_number": "718-991-0071",
            "fax_number": "718-893-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H.O.M.E.E. CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-991-0071",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, MS"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NY",
            "license": "7595430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01304989",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Bronx, NY
• Providers in Bronx, NY by specialty
• Mental Illness Community Based Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.