Organization Active NPI

Womens League Community Residence

  • Intellectual Disabilities Intermediate Care Facility
  • Brooklyn, NY
National Provider Identifier
1881807550
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
WOMENS LEAGUE COMMUNITY RESIDENCE
Practice address
1015 45TH St
Brooklyn, NY 11219-1908
Phone
(718) 853-1667
Fax
(718) 633-6816
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Mr. Brian Seewald
Title
Ceo
Phone
(718) 853-0900

Specialties & licenses 1

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

Addresses

Primary practice location

1015 45TH St
Brooklyn, NY 11219-1908

Mailing address

1400 Coney Island Avenue
Brooklyn, NY 11230
Phone (718) 853-0900

Other identifiers 1

IdentifierTypeStateIssuer
01411196MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881807550. Details of each certification follow.

  • CCN 33H293 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 33H293

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
WOMEN'S LEAGUE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jun 23, 1993
Last certification
Mar 5, 2025
Beds
12
Ownership / control type
Private (non-profit)
Facility address
1015 45TH Street
Brooklyn, NY 11219

National Provider Directory

National Provider Directory
Tax ID family
Womens League Community Residence11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

1015 45th St
Brooklyn, NY 11219
Phone (718) 796-1494

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1881807550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CONEY ISLAND AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11230",
            "telephone_number": "718-853-0900",
            "fax_number": "718-633-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 45TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191908",
            "telephone_number": "718-853-1667",
            "fax_number": "718-633-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS LEAGUE COMMUNITY RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "SEEWALD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-853-0900",
        "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": "01411196",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.