Organization Active NPI

Sea Crest Health Care Center

  • Skilled Nursing Facility
  • Brooklyn, NY
National Provider Identifier
1831186451
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7001345N Issued in NY
Legal business name
SEA CREST HEALTH CARE CENTER
Practice address
3035 W 24TH St
Brooklyn, NY 11224-2114
Phone
(718) 372-4500
Fax
(718) 372-4579
NPI assigned
Sep 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Evelyn Jones, NHLA
Title
Administrator
Phone
(718) 372-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 7001345N NY Primary

Addresses

Primary practice location

3035 W 24TH St
Brooklyn, NY 11224-2114

Mailing address

3035 W 24TH St
Brooklyn, NY 11224-2114
Phone (718) 372-4500

Other identifiers 1

IdentifierTypeStateIssuer
00308865MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831186451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 W 24TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242114",
            "telephone_number": "718-372-4500",
            "fax_number": "718-372-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 W 24TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242114",
            "telephone_number": "718-372-4500",
            "fax_number": "718-372-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA CREST HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-372-4500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NHLA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7001345N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00308865",
            "state": "NY"
        }
    ],
    "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 Aug 22, 2020; 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.