Organization Active NPI

PH2-Sadc

  • Adult Day Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1861271876
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
PH2-SADC
Practice address
2198 Fulton St
Brooklyn, NY 11233-6746
Phone
(347) 413-5900
Fax
(347) 413-5909
NPI assigned
Sep 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Earl Jones, MPA
Title
Director/Manager
Phone
(917) 445-9743

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

2198 Fulton St
Brooklyn, NY 11233-6746

Mailing address

2198 Fulton St
Brooklyn, NY 11233-6746
Phone (917) 445-9743

Other names 1

  • PRECIOUS HEARTS SADC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1861271876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2198 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112336746",
            "telephone_number": "917-445-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2198 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112336746",
            "telephone_number": "347-413-5900",
            "fax_number": "347-413-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PH2-SADC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "EARL",
        "authorized_official_title_or_position": "DIRECTOR/MANAGER",
        "authorized_official_telephone_number": "917-445-9743",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRECIOUS HEARTS SADC",
            "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 Sep 28, 2023; 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.