Organization Active NPI

Care for the Homeless

Doing business as Care For The Homeless Wards Island

  • Federally Qualified Health Center (FQHC)
  • New York, NY
National Provider Identifier
1932444528
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
70000279R Issued in NY
Legal business name
CARE FOR THE HOMELESS
Doing business as
Care For The Homeless Wards Island
Practice address
1 Wards Is
New York, NY 10035-6002
Phone
(212) 534-3866
Fax
(212) 366-1773
NPI assigned
Dec 7, 2012
Last updated
Apr 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Authorized official

Name
Debbian Fletcher BlakeNPI 1841290046
Title
Assistant Executive Director
Phone
(212) 366-4459

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 70000279R NY Primary

Addresses

Primary practice location

1 Wards Is
New York, NY 10035-6002

Mailing address

30 E 33Rd St
New York, NY 10016-5337
Phone (212) 366-4459

Other names 1

  • Care For The Homeless Wards Island Doing business as

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 1932444528. Details of each certification follow.

  • CCN 331169 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 331169

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
CARE FOR THE HOMELESS 9369
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 23, 2015
Last certification
Sep 23, 2015
Ownership / control type
For profit – corporation
Facility address
1 Wards Island
New York, NY 10035

National Provider Directory

National Provider Directory

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": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1932444528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 33RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165337",
            "telephone_number": "212-366-4459",
            "fax_number": "212-366-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WARDS IS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100356002",
            "telephone_number": "212-534-3866",
            "fax_number": "212-366-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE FOR THE HOMELESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-07",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "FLETCHER BLAKE",
        "authorized_official_first_name": "DEBBIAN",
        "authorized_official_title_or_position": "ASSISTANT EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "212-366-4459"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "70000279R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care For The Homeless Wards Island",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.