NPIMap

Organization Active NPI

MJHC Home Care, Inc.

  • Home Health Agency
  • Brooklyn, NY
National Provider Identifier
1710149984
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7001908L Issued in NY
Legal business name
MJHC HOME CARE, INC.
Practice address
6405 7TH Ave
Brooklyn, NY 11220-4731
Phone
(718) 759-4215
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Alexander Balko
Title
Sr VP/Cfo
Phone
(718) 491-7221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7001908L NY Primary

Addresses

Primary practice location

6405 7TH Ave
Brooklyn, NY 11220-4731

Mailing address

6323 7TH Ave
Brooklyn, NY 11220-4742
Phone (718) 630-2510

Other identifiers 1

IdentifierTypeStateIssuer
00353824MedicaidNY

Other names 1

  • DBA/MJG Nursing Home Company LTHHC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030325000015 NY Part A Provider - Home Health Agency 9931018223 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brooklyn, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710149984. Details of each certification follow.

Home health agency certification: CCN 337061

Legal name
METROPOLITAN JEWISH HOME CARE INC
Doing business as
MJHS HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Jul 24, 2020
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Feb 18, 2003 in NY
Enrollment address
6323 7TH Ave
2ND FL
Brooklyn, NY 11220-4742

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
M J H S Home CareCCN 337061 · All quality measures
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

1250 Waters Pl
Ste 601
Bronx, NY 10461
Phone (718) 409-4000

6323 7th Ave
Ste 2
Brooklyn, NY 11220
Phone (716) 491-7100

39 Broadway
#200
New York, NY 10006
Phone (212) 649-5527

39 Broadway
Fl 3
New York, NY 10006
Phone (917) 648-5827

172 S Broadway
#2
White Plains, NY 10605
Phone (914) 289-2450

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William Gormley Individual Corporate OfficerBoard Treasurer Apr 27, 2022
Danielle Rollmann Individual Corporate DirectorBoard Director, Ex-Officio, Non- Apr 27, 2022
Ronald B Milch Individual Corporate DirectorBoard Director Jan 1, 2012
David Wagner Individual Corporate OfficerChief Executive Officer Jan 1, 2022
Corporate DirectorChief Executive Officer Jan 1, 2022
Arthur Goshin Individual Corporate DirectorBoard Director Jan 1, 2012
Bradley M Fluegel Individual Corporate OfficerBoard Chair Apr 27, 2022
Anca Adams Individual W-2 Managing EmployeeAssociate General Counsel Mar 21, 2022
Metropolitan Jewish Health System Inc Organization, Brooklyn, NY Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 18, 2003 100%
David Koschitzki Individual Corporate OfficerChief Financial Officer Jan 1, 2022
Geline Midouin Individual Corporate DirectorBoard Director Mar 9, 2021
Steven L Topal Individual Corporate DirectorBoard Vice Chair Jan 1, 2012
Kathleen Dier Individual W-2 Managing EmployeeSVP of Home Care Oct 23, 2017
Anne Marinaro Individual Corporate DirectorBoard Director Mar 9, 2021
Eli S Feldman Individual Corporate DirectorBoard Director Jan 1, 2012
W-2 Managing EmployeeCeo Apr 5, 2012

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1710149984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204742",
            "telephone_number": "718-630-2510",
            "fax_number": "718-759-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204731",
            "telephone_number": "718-759-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJHC HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "BALKO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "SR VP/CFO",
        "authorized_official_telephone_number": "718-491-7221"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "7001908L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00353824",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA/MJG Nursing Home Company LTHHC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.