Organization Active NPI

Oceanview Manor Home for Adults, Inc.

  • Assisted Living Facility
  • Brooklyn, NY
National Provider Identifier
1780014886
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
3011L001 Issued in NY
Legal business name
OCEANVIEW MANOR HOME FOR ADULTS, INC.
Practice address
3010 W 33Rd St
Brooklyn, NY 11224-1404
Phone
(718) 996-1500
NPI assigned
Nov 26, 2013
Last updated
Nov 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Lisa Vider
Title
Administrator
Phone
(718) 996-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 3011L001 NY Primary

Addresses

Primary practice location

3010 W 33Rd St
Brooklyn, NY 11224-1404

Mailing address

3010 W 33Rd St
Brooklyn, NY 11224-1404

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2203870Oceanview Manor Home for Adults Lab3010 W 33Rd St, Brooklyn, NY 11224Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1780014886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 W 33RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 W 33RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241404",
            "telephone_number": "718-996-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANVIEW MANOR HOME FOR ADULTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "VIDER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-996-1500"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "3011L001",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.