Martin de Porres Group Homes

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

00328116 Issued in NY

Legal business name

MARTIN DE PORRES GROUP HOMES

Practice address

136 25 218TH Street
Springfield Gardens, NY 11413-2226

Phone

(718) 527-0606

Fax

(718) 723-1528

NPI assigned

Oct 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Philip Rofrano, LCSW

Title

President Executive Director

Phone

(718) 527-0606

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Monique Caruth

  • Mental Health Counselor
  • Springfield Gardens, NY
  • NPI 1437011392
  NPD (past)
• Eon R Parks, MFT

  • Marriage & Family Therapist
  • Springfield Gardens, NY
  • NPI 1598491433
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629163563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 25 218TH STREET",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114132226",
            "telephone_number": "718-527-0606",
            "fax_number": "718-723-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 25 218TH STREET",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114132226",
            "telephone_number": "718-527-0606",
            "fax_number": "718-723-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN DE PORRES GROUP HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROFRANO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-527-0606",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NY",
            "license": "00328116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00328116",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Louis
• Fabienne Lucien
• Michael Joseph Mailloux
• Makeda Maragh, LPN
• Maricia Thompson LCSW PLLC
• Martin de Porres School for Exceptional Children
• Martin de Porres School for Exceptional Children, Inc. (Martin de Porres School)
• Stephanie McDonald
• Tiffany McFarlane, NP
• Lavone Scott McGhee, MA

• Emotionally Disturbed Childrens' Residential Treatment Facility in Springfield Gardens, NY
• Providers in Springfield Gardens, NY by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in New York

• 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.