Home for Aged Blind

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HOME FOR AGED BLIND

Practice address

15 W 65TH St
Finance Department
New York, NY 10023-6601

Phone

(212) 769-6200

Fax

(212) 769-7838

NPI assigned

Sep 30, 2009

Organization subpart

Yes

Parent organization

JHB HEALTH FACILITY CORP.As reported in NPPES

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

Authorized official

Name

Dr. Alan R Morse

Title

President & Ceo

Phone

(212) 769-6215

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

JGB Home for Aged-Blind

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1619201258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W 65TH ST",
            "address_2": "FINANCE DEPARTMENT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236601",
            "telephone_number": "212-769-6200",
            "fax_number": "212-769-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W 65TH ST",
            "address_2": "FINANCE DEPARTMENT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236601",
            "telephone_number": "212-769-6200",
            "fax_number": "212-769-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME FOR AGED BLIND",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JHB HEALTH FACILITY CORP.",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "212-769-6215",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00309320",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "335512",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.