URBAN RESOURCE INSTITUTE (NPI# 1205048105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205048105 |
| Entity Type | Organization |
| Organization Name | URBAN RESOURCE INSTITUTE |
| Practice Address |
15519 Linden Blvd Jamaica NY 11434-1017 |
| Mailing Address |
75 Broad St Suite 505 New York NY 10004-2415 |
| Practice Telephone | 6465880030 |
| Practice Fax Number | 6465880033 |
| Mailing Telephone | 6465880030 |
| Mailing Fax Number | 6465880033 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2016-12-14 |
| Authorized Official Name | DONOVAN MURRAY (SENIOR VICE PRESIDENT, FINANCE/CFO) |
| Authorized Official Telephone | 6465880040 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 7712440 | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01207661 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306058219 | Urban Resource Institute | Intermediate Care Facility, Mentally Retarded | 4149 Benham Street, Elmhurst, NY 11373 | 2007-05-04 |
| 1548479975 | Urban Resource Institute | Community/Behavioral Health | 937 Fulton St, Brooklyn, NY 11238-2347 | 2007-05-22 |
| 1033327291 | Urban Resource Institute | Case Management | 22 Chapel St, Brooklyn, NY 11201-1903 | 2007-05-20 |
| 1144432147 | Urban Resource Institute | Substance Abuse Rehabilitation Facility | 937 Fulton Street, Brooklyn, NY 11238 | 2007-05-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | URBAN RESOURCE INSTITUTE | 75 Broad St, New York, NY 10004-2415 |
| Street Address |
15519 LINDEN BLVD |
| City | JAMAICA |
| State | NY |
| Zip Code | 11434-1017 |
| 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 |
| 1639292774 | United Cerebral Palsy Assoc of Nys | Intermediate Care Facility, Mentally Retarded | 110-35 164th Place, Jamaica, NY 11433 | 2007-04-06 |
| 1194868257 | Cath Char Nghbhd Svs Mugavero Icf | Intermediate Care Facility, Mentally Retarded | 14516 Farmers Blvd, Jamaica, NY 11434-5024 | 2007-02-15 |
| 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.