ICL GARDEN HOUSE (AVE D) ICF (NPI# 1013150531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013150531 |
| Entity Type | Organization |
| Organization Name | ICL GARDEN HOUSE (AVE D) ICF |
| Practice Address |
4715 Avenue D Icl Garden House (ave D) Icf Brooklyn NY 11203 |
| Mailing Address |
4715 Avenue D Brooklyn NY 11203-5817 |
| Practice Telephone | 7184512817 |
| Mailing Telephone | 7184512817 |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2019-03-04 |
| Authorized Official Name | MRS. LYNETTE BACCHUS (ASST CONTROLLER) |
| Authorized Official Telephone | 2123853030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | Nursing & Custodial Care Facilities |
| Street Address |
4715 AVENUE D ICL GARDEN HOUSE (AVE D) ICF |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124189360 | Orlan Sapinoso Remorca | Physical Therapist | 4715 Avenue D, Brooklyn, NY 11203-5817 | 2006-12-12 |
| 1841314283 | Garden House (icl) | Day Training, Developmentally Disabled Services | 4715 Avenue D, Brooklyn, NY 11203-5817 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962676528 | Federation of Multicultural Programs, Inc | Intermediate Care Facility, Mental Illness | 2 Van Sinderen Avenue, 2nd Floor, Brooklyn, NY 11207-2302 | 2008-04-15 |
| 1679607873 | Ohel Children's & Family Services | Intermediate Care Facility, Mental Illness | 1402 Ave I, Brooklyn, NY 11230 | 2007-03-16 |
| 1174657498 | Ohel Children's Home & Family Services | Intermediate Care Facility, Mental Illness | 4224 12 Ave, Brooklyn, NY 11219 | 2007-03-16 |
| 1487788733 | Ohel Children's Home &family Services | Intermediate Care Facility, Mental Illness | 1255 52 Street, Brooklyn, NY 11219 | 2007-03-16 |
| 1346796786 | United Cerebral Palsy Assoc of Nys Inc. | Intermediate Care Facility, Mental Illness | 277 N 8th St, Brooklyn, NY 11211-2102 | 2016-08-26 |
| 1922554377 | United Cerebral Palsy Assoc of Nys Inc. | Intermediate Care Facility, Mental Illness | 225 Brooklyn Ave, Brooklyn, NY 11213-2504 | 2016-08-26 |
| 1811443260 | United Cerebral Palsy Assoc of Nys Inc. | Intermediate Care Facility, Mental Illness | 174 Java St, Brooklyn, NY 11222-1704 | 2016-08-26 |
| 1063968428 | United Cerebral Palsy Assoc of Nys Inc. | Intermediate Care Facility, Mental Illness | 3730 Shore Pkwy, Brooklyn, NY 11235-1718 | 2016-08-26 |
| 1265988612 | United Cerebral Palsy Assoc of Nys Inc. | Intermediate Care Facility, Mental Illness | 156 Midwood St, Brooklyn, NY 11225-5010 | 2016-08-26 |
| 1659505824 | Psch. Inc | Intermediate Care Facility, Mental Illness | 189 Chestnut St, Brooklyn, NY 11208-1405 | 2009-05-04 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.