Organization Active NPI

Care for the Homeless

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
National Provider Identifier
1811233786
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
70000279R Issued in NY
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

Updated by the provider on Feb 3, 2025

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 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 Doing business as

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 Directory

NPI 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

Verify at the official NPI Registry.