Active NPI
Care for the Homeless
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
National Provider Identifier
1811233786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- 70000279R
- Legal business name
- CARE FOR THE HOMELESS
- Practice address
- 795 Lexington Ave
Brooklyn, NY 11221-2903 - Phone
- (347) 294-2412
- Fax
- (212) 366-1773
- NPI assigned
- Dec 21, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 70000279R | NY | Primary |
Addresses
Primary practice location
795 Lexington Ave
Brooklyn, NY 11221-2903
Mailing address
30 E 33Rd St
5TH Floor
New York, NY 10016-5337
Phone (212) 366-4459
Other names 1
- St John's Bread and Life Program
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Federally qualified health center certification: CCN 331149
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
- ST JOHN'S BREAD AND LIFE PROGRAM
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- May 11, 2015
- Last certification
- May 11, 2015
- Ownership / control type
- For profit – corporation
- Facility address
- 795 Lexington Avenue
Brooklyn, NY 11221
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738540800000",
"number": "1811233786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E 33RD ST",
"address_2": "5TH FLOOR",
"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": "795 LEXINGTON AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112212903",
"telephone_number": "347-294-2412",
"fax_number": "212-366-1773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARE FOR THE HOMELESS",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-21",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"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": "70000279R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "St John's Bread and Life Program",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 3, 2025; 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.