NPIMap

Organization Active NPI

Care for the Homeless

Doing business as Living Room Health Center

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
National Provider Identifier
1740679695
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
7000279R Issued in NY
Legal business name
CARE FOR THE HOMELESS
Doing business as
Living Room Health Center
Practice address
800 Barretto St
Bronx, NY 10474-5304
Phone
(718) 893-3606
Fax
(212) 366-1773
NPI assigned
Jan 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Authorized official

Name
John Chue, CPA, CGMA
Title
Chief Financial Officer
Phone
(212) 366-4459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 7000279R NY Primary

Addresses

Primary practice location

800 Barretto St
Bronx, NY 10474-5304

Mailing address

30 E 33Rd St
New York, NY 10016-5337
Phone (212) 366-4459

Other identifiers 1

IdentifierTypeStateIssuer
03064422MedicaidNY

Other names 1

  • Living Room Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160422001941 NY Part A Provider - Federally Qualified Health Center (FQHC) 9830240332 Practice locations: Bronx, NY
O20190129003068 NY Part B Supplier - Clinic/Group Practice 9830240332 Receives reassigned benefits from 28 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bronx, NY; Brooklyn, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740679695. Details of each certification follow.

Federally qualified health center certification: CCN 571006

Legal name
CARE FOR THE HOMELESS
Doing business as
CARE FOR THE HOMELESS-LIVING ROOM
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 20, 2016
Last certification
Jun 20, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 1, 1992 in NY
Enrollment address
800 Barretto St
Bronx, NY 10474-5304

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 10

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

National Provider Directory

National Provider Directory
Tax ID family
Care for the Homeless12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
David Ruan Individual Corporate OfficerChief Financial & Administrative of Jul 21, 2025
Corporate DirectorChief Financial & Administrative of Jul 21, 2025
W-2 Managing Employee Jul 21, 2025
Rakesh Chandra Individual Corporate OfficerBoard Member May 1, 2024
Corporate DirectorBoard Member May 1, 2024
Timothy Karcher Individual Corporate OfficerBoard Member May 1, 2014
Corporate DirectorBoard Member May 1, 2014
Lloyd E Bailey Individual Corporate OfficerChair of Cqi May 1, 2016
Corporate DirectorChair of Cqi May 1, 2016
Philip Malebranche Individual Corporate OfficerChair of Policy & Advocacy May 1, 2018
Corporate DirectorChair of Policy & Advocacy May 1, 2018
Allen Rumanyika Individual Corporate OfficerBoard Treasurer; Chair of Finance May 1, 2021
Corporate DirectorBoard Treasurer; Chair of Finance May 1, 2021
Janardhan Cadambi Individual Corporate OfficerChair of Audit & Compliance May 1, 2021
Corporate DirectorChair of Audit & Compliance, and St May 1, 2021
Frances a Melendez Individual Corporate OfficerBoard Member May 1, 2021
Corporate DirectorBoard Member May 1, 2021
Judy Tabak Individual Corporate OfficerBoard Secretary May 1, 2020
Corporate DirectorBoard Secretary May 1, 2020
Marian Haas Individual Corporate OfficerBoard Vice Chair May 1, 2023
Corporate DirectorBoard Vice Chair May 1, 2023
Jane Parker Individual Corporate OfficerBoard Secretary May 1, 2020
Corporate DirectorBoard Secretary May 1, 2020
Jonathan Dwayne Santos-Ramos Individual Corporate OfficerExecutive Director Jun 5, 2023
Corporate DirectorExecutive Director Jun 5, 2023
George Nashak Individual Corporate OfficerPresident and Ceo May 1, 2019
Corporate DirectorPresident and Ceo May 1, 2019
Surjit Chana Individual Corporate OfficerBoard Chair May 1, 2017
Corporate DirectorBoard Chair May 1, 2017
Delise Dupont Blenman Individual Corporate OfficerBoard Member May 1, 2013
Corporate DirectorBoard Member May 1, 2013
Robert Heckart Individual Corporate OfficerChair of Nominations & Governance May 1, 2019
Corporate DirectorChair of Nominations & Governance May 1, 2019
Grigor Licul Individual Corporate OfficerBoard Member May 1, 2020
Corporate DirectorBoard Member May 1, 2020

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1740679695",
    "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": "800 BARRETTO ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104745304",
            "telephone_number": "718-893-3606",
            "fax_number": "212-366-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE FOR THE HOMELESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "CHUE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "212-366-4459",
        "authorized_official_credential": "CPA, CGMA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "7000279R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03064422",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Room Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.