NPIMap

Organization Active NPI

Mercy Home for Children, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Brooklyn, NY
National Provider Identifier
1720258155
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
MERCY HOME FOR CHILDREN, INC.
Practice address
259 North 5TH Street
Brooklyn, NY 11211-3325
Phone
(718) 302-0957
Fax
(718) 302-2495
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 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

259 North 5TH Street
Brooklyn, NY 11211-3325

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
01055169OtherNYMEDICAID PROVIDER ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 33G862

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MERCY HOME FOR CHILDREN - LITTLE JOHN
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Feb 8, 1988
Last certification
Feb 5, 2025
Beds
10
Ownership / control type
Private (non-profit)
Facility address
259 North 5TH Street
Brooklyn, NY 11211

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

259 N 5th St
Brooklyn, NY 11211
Phone (718) 302-0957

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": "1204243200000",
    "number": "1720258155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 PROSPECT PARK W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155807",
            "telephone_number": "718-832-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 NORTH 5TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112113325",
            "telephone_number": "718-302-0957",
            "fax_number": "718-302-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOME FOR CHILDREN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "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": "01055169",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.