Care for the Homeless

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

70000279R Issued in NY

Legal business name

CARE FOR THE HOMELESS

Doing business as

Care For The Homeless Springfield Gardens Family Inn

Practice address

146-80 Guy Brewer Blvd
Jamaica, NY 11434

Phone

(347) 426-1642

Fax

(212) 366-1773

NPI assigned

Dec 21, 2012

Organization subpart

No

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

Authorized official

Name

Debbian Fletcher Blake

Title

Assistant Executive Director

Phone

(212) 366-4459

Specialties & licenses 1

Addresses

Other names 1

• Care For The Homeless Springfield Gardens Family Inn Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Federally qualified health center certification: CCN 331172

Legal name

CARE FOR THE HOMELESS SPRINGFIELD GARDENS

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Sep 10, 2015

Last certification

Sep 10, 2015

Ownership / control type

For profit – corporation

Facility address

146-80 Guy Brewer Blvd
Jamaica, NY 11434

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1720324650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 33RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165337",
            "telephone_number": "212-366-4459",
            "fax_number": "212-366-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146-80 GUY BREWER BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11434",
            "telephone_number": "347-426-1642",
            "fax_number": "212-366-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE FOR THE HOMELESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-21",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "FLETCHER BLAKE",
        "authorized_official_first_name": "DEBBIAN",
        "authorized_official_title_or_position": "ASSISTANT EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "212-366-4459"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "70000279R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care For The Homeless Springfield Gardens Family Inn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Carewell Medical Associates PC
• Caring Hands Pediatrics, PC
• Caring Touch of Ny LLC

• Federally Qualified Health Center (FQHC) in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Federally Qualified Health Center (FQHC) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.