NPIMap

Organization Active NPI

Mercy Home for Childen, Inc.,

  • Intellectual Disabilities Intermediate Care Facility
  • Brooklyn, NY
National Provider Identifier
1639348022
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
MERCY HOME FOR CHILDEN, INC.,
Practice address
345 Warren St
Brooklyn, NY 11201-6412
Phone
(718) 852-8613
Fax
(718) 852-2608
NPI assigned
Feb 29, 2008
Last updated
Mar 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Sr. Catherine Crumlish
Title
Executive Director
Phone
(718) 832-1075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

345 Warren St
Brooklyn, NY 11201-6412

Mailing address

243 Prospect Park West
Brooklyn, NY 11215-5807
Phone (718) 832-1075

Other identifiers 1

IdentifierTypeStateIssuer
00357011OtherNYMEDICAID PROVIDER ID #

National Provider Directory

National Provider Directory
Tax ID family
Mercy Home for Children Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

243 Prospect Park W
Brooklyn, NY 11215
Phone (718) 832-1075

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1639348022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 PROSPECT PARK WEST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155807",
            "telephone_number": "718-832-1075",
            "fax_number": "718-499-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 WARREN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016412",
            "telephone_number": "718-852-8613",
            "fax_number": "718-852-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOME FOR CHILDEN, INC.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "CRUMLISH",
        "authorized_official_first_name": "SR. CATHERINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-832-1075"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER ID #",
            "identifier": "00357011",
            "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 Mar 11, 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.