Providence House

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PROVIDENCE HOUSE

Practice address

275 Kosciuszko St
Brooklyn, NY 11221-5569

Phone

(718) 455-0197

Fax

(718) 455-0692

NPI assigned

May 5, 2015

Organization subpart

No

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

Authorized official

Name

Janet Kinney

Title

Executive Director

Phone

(718) 455-0197

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1821475344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 LEXINGTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112212206",
            "telephone_number": "718-455-0197",
            "fax_number": "718-455-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 KOSCIUSZKO ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112215569",
            "telephone_number": "718-455-0197",
            "fax_number": "718-455-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "KINNEY",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-455-0197"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Proud
• Proven Care LLC
• Louis Provenzano
• Corey Joan Proverdi, LCAT
• Providence Care Inc
• Eitel Emanuel Providence, M.D.
• Karen Providence
• Lacey D Providence, REGISTERED NURSE
• Marie Providence
• Paula Providence

• Case Management Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.