CATH CHAR NGHBHD SVS MUGAVERO ICF (NPI# 1194868257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194868257 |
| Entity Type | Organization |
| Organization Name | CATH CHAR NGHBHD SVS MUGAVERO ICF |
| Practice Address |
14516 Farmers Blvd Jamaica NY 11434-5024 |
| Mailing Address |
191 Joralemon St 9th Floor Brooklyn NY 11201-4306 |
| Practice Telephone | 7187129054 |
| Mailing Telephone | 7187226180 |
| Mailing Fax Number | 7187226219 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-07-09 |
| Authorized Official Name | MS. DONNA CORRADO (EXECUTIVE SECRETARY) |
| Authorized Official Telephone | 7187226123 |
| Is Organization Subpart | Y |
| Parent Organization Name | CATHOLIC CHARITIES NEIGHBORHOOD SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01128821 | 05 |
| Street Address |
14516 FARMERS BLVD |
| City | JAMAICA |
| State | NY |
| Zip Code | 11434-5024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427504877 | United Cerebral Palsy Assoc of Nys Inc. | Intermediate Care Facility, Mental Illness | 14516 Farmers Blvd, Jamaica, NY 11434-5024 | 2016-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726583 | Quwanna M Seymour | Licensed Practical Nurse | Sweet P Home Care Inc 169-37 144th Rd, Jamaica, NY 11434 | 2020-09-29 |
| 1609482645 | Joanquina Beaublanc | Registered Nurse | 170300 130th Ave, Queens, NY 11434 | 2020-09-16 |
| 1386252799 | Maria Akeloko | Behavioral Analyst | 16630 137th Ave, Jamaica, NY 11434 | 2020-07-22 |
| 1023635430 | Jessica Obidimalor | Nurse Practitioner | 165-17 145th Road, Jamaica, NY 11434 | 2020-07-01 |
| 1548885528 | Dominique Alicia Preville | Registered Nurse | 127-14 122nd Street, Apt 2, Queens, NY 11434 | 2020-06-15 |
| 1235754748 | Jameela Scotland | Licensed Practical Nurse | 172 128 Ave, Jamaica, NY 11434 | 2020-06-10 |
| 1447892815 | Accord Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 115-17 Merrick Blvd., Jamaica, NY 11434 | 2019-10-17 |
| 1578122032 | Denise Marie Cahill | Counselor | 175-15 Rockaway Blvd., Janaica, NY 11434 | 2019-06-10 |
| 1235794363 | Whitney Sewell | Social Worker | 115-15 Sutphin Blvd., Jamaica, NY 11434 | 2019-05-03 |
| 1770055832 | Kassandra Maria Campbell | Registered Nurse | 114-76 177th Street, Jamaica, NY 11434 | 2018-12-29 |
| Find all providers in zip 11434 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629257381 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 16120 89th Ave, Apt 2a, Jamaica, NY 11432-3901 | 2007-10-30 |
| 1205048105 | Urban Resource Institute | Intermediate Care Facility, Mentally Retarded | 15519 Linden Blvd, Jamaica, NY 11434-1017 | 2007-05-04 |
| 1639292774 | United Cerebral Palsy Assoc of Nys | Intermediate Care Facility, Mentally Retarded | 110-35 164th Place, Jamaica, NY 11433 | 2007-04-06 |
| 1821263377 | Ucp of Queens | Intermediate Care Facility, Mentally Retarded | 8115 164th St, Jamaica, NY 11432-1118 | 2008-04-25 |
| 1467627380 | Ucp of Queens | Intermediate Care Facility, Mentally Retarded | 8115 164th St, Jamaica, NY 11432-1118 | 2008-04-23 |
| 1487829396 | Ucp of Queens | Intermediate Care Facility, Mentally Retarded | 8115 164th St, Jamaica, NY 11432-1118 | 2008-04-23 |
| 1578738399 | Ucp of Queens | Intermediate Care Facility, Mentally Retarded | 8115 164th St, Jamaica, NY 11432-1118 | 2008-04-23 |
| 1558536375 | Ucp of Queens | Intermediate Care Facility, Mentally Retarded | 8115 164th St, Jamaica, NY 11432-1118 | 2008-04-23 |
| 1609041524 | Ucp of Queens | Intermediate Care Facility, Mentally Retarded | 8115 164th St, Jamaica, NY 11432-1118 | 2008-04-23 |
| 1487835096 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 16120 89th Ave, Apt 3d, Jamaica, NY 11432-3901 | 2007-11-26 |
| Find all providers in JAMAICA | ||||
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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.