NPIMap

Organization Active NPI

Institue for Community Living

  • In Home Supportive Care Agency
  • Brooklyn, NY
National Provider Identifier
1871897074
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
INSTITUE FOR COMMUNITY LIVING
Practice address
2384 Atlantic Ave
4TH Floor
Brooklyn, NY 11233-3402
Phone
(718) 495-0920
NPI assigned
Jan 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Authorized official

Name
Ms. Hazel Ivoline Ferguson
Title
Vocational Educational Specialist
Phone
(718) 495-0920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2384 Atlantic Ave
4TH Floor
Brooklyn, NY 11233-3402

Mailing address

2384 Atlantic Ave
4TH Floor
Brooklyn, NY 11233-3402

National Provider Directory

National Provider Directory
Tax ID family
Icl Individual Support Services35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Locations

2384 Atlantic Ave
Fl 4
Brooklyn, NY 11233
Phone (718) 272-6025

Practitioners & affiliated clinicians

Practitioners 6

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": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1871897074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2384 ATLANTIC AVE",
            "address_2": "4TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112333402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2384 ATLANTIC AVE",
            "address_2": "4TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112333402",
            "telephone_number": "718-495-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUE FOR COMMUNITY LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "HAZEL",
        "authorized_official_middle_name": "IVOLINE",
        "authorized_official_title_or_position": "VOCATIONAL EDUCATIONAL SPECIALIST",
        "authorized_official_telephone_number": "718-495-0920",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 3, 2011; 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.