Organization Active NPI

Cidny-Independent Living Services

  • Home Health Agency
  • Brooklyn, NY
National Provider Identifier
1760568802
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0637L002 Issued in NY
Legal business name
CIDNY-INDEPENDENT LIVING SERVICES
Practice address
150 Ocean Pkwy
Room 101
Brooklyn, NY 11218-2481
Phone
(212) 254-5000
Fax
(212) 460-9194
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Mr. Kenneth L Block
Title
Managing Director
Phone
(212) 254-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0637L002 NY Primary

Addresses

Primary practice location

150 Ocean Pkwy
Room 101
Brooklyn, NY 11218-2481

Mailing address

PO Box 180032
Brooklyn, NY 11218-0032
Phone (212) 254-5000

Other identifiers 1

IdentifierTypeStateIssuer
00925306MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1760568802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180032",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112180032",
            "telephone_number": "212-254-5000",
            "fax_number": "212-460-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 OCEAN PKWY",
            "address_2": "ROOM 101",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182481",
            "telephone_number": "212-254-5000",
            "fax_number": "212-460-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIDNY-INDEPENDENT LIVING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "212-254-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "0637L002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00925306",
            "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 May 11, 2015; 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.