ICL MEDICAID SERVICE COORDINATION (MSC) (NPI# 1376873265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376873265 |
| Entity Type | Organization |
| Organization Name | ICL MEDICAID SERVICE COORDINATION (MSC) |
| Practice Address |
6209 16th Ave Brooklyn NY 11204-2702 |
| Practice Telephone | 7182340073 |
| Mailing Telephone | 7182340073 |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2009-12-28 |
| Authorized Official Name | DEWEY HOWARD (CFO) |
| Authorized Official Telephone | 2123853030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01410099 | 05 |
| Street Address |
6209 16TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11204-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912951641 | Lamia Mahhoud Mroueh | Family Medicine | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2006-05-19 |
| 1891341624 | Gilbert Bell | Counselor | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2019-08-16 |
| 1649733320 | Healthcarechoices Ny, Inc | Clinic/Center | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2019-04-10 |
| 1265946404 | Nicole Danielle Ajenishe | Social Worker | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2017-11-27 |
| 1518402890 | Jose Manuel Vazquez | Registered Nurse | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2016-12-22 |
| 1104219583 | Nina Statman | Social Worker | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2015-03-10 |
| 1215353461 | Ghc Pharmacy Inc. | Pharmacy | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2014-03-12 |
| 1205137023 | Odette Spencer | Nurse Practitioner | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2010-11-10 |
| 1669798583 | Ertha Jeter | Nurse Practitioner | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2010-04-16 |
| 1134442528 | Ludmila Shklyarevsky | Psychiatry & Neurology | 6209 16th Ave, Brooklyn, NY 11204 | 2010-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577564 | Miriam Levin | Social Worker | 5309 18th Avenue, Brooklyn, NY 11204 | 2020-01-14 |
| 1073076980 | Fusion Dental, P.C. | Dentist | 2101 Bay Ridge Parkway, Medical/dental Center, Brooklyn, NY 11204 | 2019-04-08 |
| 1477019990 | Daniel Silberstein | Physical Therapist | 1767 48th Street, Brooklyn, NY 11204 | 2019-02-20 |
| 1144736968 | Star 1 Health Inc. | Radiology | 2175 70th St, Suite 1, Brooklyn, NY 11204 | 2017-12-15 |
| 1417462318 | Betzalel Rabinowitz Np In Family Health, Pllc | Nurse Practitioner | 5911b 16th Ave, Brooklyn, NY 11204 | 2017-12-13 |
| 1588176648 | Giga Gambashidze | Physical Therapy Assistant | 1556 W 8th St, Apt 2, Brooklyn, NY 11204 | 2017-10-30 |
| 1871011015 | Rebecca Aida Nuzzi | Speech-Language Pathologist | 4715 18th Avenue, Brooklyn, NY 11204 | 2017-09-08 |
| 1245751882 | Wise Medical Ny PC | Optometrist | 5918 18th Ave Ste 3, Brooklyn, NY 11204 | 2017-07-05 |
| 1619498326 | Keisha Simmons | Licensed Practical Nurse | 703 Van Silcen Ave, Brooklyn, NY 11204 | 2017-07-03 |
| 1790205508 | Enas Ahmed | Physical Therapist | 1924 60th Street, 2nd Floor, Brooklyn, NY 11204 | 2017-06-22 |
| Find all providers in zip 11204 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754621 | Home Sweet Home Aba LLC | Day Training, Developmentally Disabled Services | 1404 Union St, Brooklyn, NY 11213-4336 | 2020-09-13 |
| 1487296455 | Venture Kids Inc | Day Training, Developmentally Disabled Services | 1731 Flatbush Ave, Brooklyn, NY 11210 | 2019-10-11 |
| 1568943074 | Guerline Nelson | Day Training, Developmentally Disabled Services | 454 E 25th St, Brooklyn, NY 11226-7702 | 2018-08-22 |
| 1811412356 | Lisa S Rudnitsky | Day Training, Developmentally Disabled Services | 445 Neptune Avenue, 12d, Brooklyn, NY 11224 | 2017-08-05 |
| 1265961668 | Royal Community Support LLC | Day Training, Developmentally Disabled Services | 1996 New York Avenue, Brooklyn, NY 11210 | 2017-06-08 |
| 1265885628 | Shakirah Wright | Day Training, Developmentally Disabled Services | 557 E 29th St, Brooklyn, NY 11210-1444 | 2016-07-20 |
| 1316398746 | Cindy Delbrune | Day Training, Developmentally Disabled Services | 4808 Snyder Ave, Brooklyn, NY 11203-4306 | 2016-06-27 |
| 1689042384 | Pigi's World | Day Training, Developmentally Disabled Services | 125 Falmouth St, Brooklyn, NY 11235-3005 | 2015-09-11 |
| 1972998482 | Feel At Home Adult Day Care Center | Day Training, Developmentally Disabled Services | 750 E 103rd St, Apt2b, Brooklyn, NY 11236-2851 | 2015-04-01 |
| 1184026650 | Bridget L. Vargas | Day Training, Developmentally Disabled Services | 1715 Coleman Street, Brooklyn, NY 11234 | 2014-09-16 |
| 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.