NPIMap

Organization Active NPI

St. Nicks Alliance Corp

  • Assisted Living Facility
  • Brooklyn, NY
National Provider Identifier
1902217862
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
331-S-007 Issued in NY
Legal business name
ST. NICKS ALLIANCE CORP
Practice address
260 Powers St.
Brooklyn, NY 11211
Phone
(718) 782-3390
NPI assigned
May 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Authorized official

Name
Mr. Michael Rochford
Title
Executive Director
Phone
(718) 388-5454

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X
Assisted Living Facility 310400000X 331-S-007 NY Primary

Addresses

Primary practice location

260 Powers St.
Brooklyn, NY 11211

Mailing address

2 Kingsland Ave.
Brooklyn, NY 11211
Phone (718) 388-5454

Other identifiers 1

IdentifierTypeStateIssuer
03259029MedicaidNY

Other names 1

  • St. Nicholas Neighborhood Preservation Corp. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
St Nicholas Neighborhood Preservation Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1902217862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 KINGSLAND AVE.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11211",
            "telephone_number": "718-388-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 POWERS ST.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11211",
            "telephone_number": "718-782-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. NICKS ALLIANCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "ROCHFORD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-388-5454",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "331-S-007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03259029",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Nicholas Neighborhood Preservation Corp.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "St. Nicholas Neighborhood Preservation Corp.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 30, 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.