Organization Active NPI

Ucp of Queens

  • Intellectual Disabilities Intermediate Care Facility
  • Jamaica, NY
National Provider Identifier
1821263377
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
UCP OF QUEENS
Practice address
8115 164TH St
Jamaica, NY 11432-1118
Phone
(718) 380-3000
Fax
(718) 969-5426
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Mr. Charles Hope
Title
Revenue Manager
Phone
(718) 380-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

8115 164TH St
Jamaica, NY 11432-1118

Mailing address

8115 164TH St
Jamaica, NY 11432-1118
Phone (718) 380-3000

Other identifiers 1

IdentifierTypeStateIssuer
01114805MedicaidNY

Other names 1

  • Queens Centers for Progress Doing business as

National Provider Directory

National Provider Directory

Locations

8115 164th St
Jamaica, NY 11432
Phone (718) 380-3000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1821263377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8115 164TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321118",
            "telephone_number": "718-380-3000",
            "fax_number": "718-969-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 164TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321118",
            "telephone_number": "718-380-3000",
            "fax_number": "718-969-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCP OF QUEENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "HOPE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "REVENUE MANAGER",
        "authorized_official_telephone_number": "718-380-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01114805",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queens Centers for Progress",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.