STATE OF NEW YORK (NPI# 1467592915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467592915 |
| Entity Type | Organization |
| Organization Name | STATE OF NEW YORK |
| Other Organization Name | BROOKLYN DC T SHIRTZ #1 ICF |
| Practice Address |
960 Elton St Brooklyn NY 11208-5418 |
| Mailing Address |
44 Holland Ave Albany NY 12229-0001 |
| Practice Telephone | 5184024333 |
| Mailing Telephone | 5184024333 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-06-26 |
| Authorized Official Name | KARLA SMITH (PRINCIPAL ACCOUNT CLERK) |
| Authorized Official Telephone | 5184024333 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF NEW YORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 00235629 | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00945446 | 05 |
| Other Name | Type Code |
|---|---|
| Brooklyn DC T shirtz #1 ICF | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003447012 | State of New York | Intermediate Care Facility, Mentally Retarded | 8045 Winchester Blvd Bldg 08, Queens Village, NY 11427-2194 | 2020-01-29 |
| 1053713883 | State of New York | Pharmacy | Cook St, Dannemora, NY 12929 | 2014-09-24 |
| 1336493014 | State of New York | Pharmacy | 201 Kapoor Hall, Buffalo, NY 14214-8033 | 2012-11-02 |
| 1487906368 | State of New York | Intermediate Care Facility, Mentally Retarded | 22 Sinpatch Rd, Wassaic, NY 12592-2432 | 2012-10-03 |
| 1972883171 | State of New York | Intermediate Care Facility, Mentally Retarded | 648 Leydecker Rd, West Seneca, NY 14224-3755 | 2011-08-19 |
| 1851671044 | State of New York | Intermediate Care Facility, Mentally Retarded | 650 Leydecker Road, West Seneca, NY 14224-3755 | 2011-08-19 |
| 1093093031 | State of New York | Intermediate Care Facility, Mentally Retarded | 526 Leydecker Rd, West Seneca, NY 14224-3731 | 2011-07-25 |
| 1871890590 | State of New York | Intermediate Care Facility, Mentally Retarded | 18 Sinpatch Rd, Wassaic, NY 12592-2432 | 2011-02-15 |
| 1174852909 | State of New York | Intermediate Care Facility, Mentally Retarded | 50 Cedar Lane, Wassaic, NY 12592 | 2009-12-07 |
| 1598909996 | State of New York | Intermediate Care Facility, Mental Illness | 55 Sinpatch Rd, Wassaic, NY 12592-2410 | 2009-04-29 |
| Street Address |
960 ELTON ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11208-5418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316595564 | Danielle Sharaby-glasser | Nurse Practitioner | Franklin K Lane School Based Health Center, 999 Jamaica Avenue, Brooklyn, NY 11208 | 2019-08-30 |
| 1205320769 | Lucrece Bonostro | Nurse Practitioner | 1804 Liberty Avenue, Brooklyn, NY 11208 | 2018-06-19 |
| 1952824682 | Jeniffer Zephyrine | Psychologist | 318 Milford St, Brooklyn, NY 11208 | 2017-07-25 |
| 1518408822 | Lavern Souvenir | Licensed Practical Nurse | 502 Cleveland, Brooklyn, NY 11208 | 2017-03-20 |
| 1376083378 | Department of Education | General Acute Care Hospital | 923 Elton Street, 2nd Floor, Brooklyn, NY 11208 | 2017-02-24 |
| 1477098606 | Robert Terrelonge | Registered Nurse | 791 Drew St, Brooklyn, NY 11208 | 2016-12-26 |
| 1881140606 | Mana Traore | Social Worker | 761 Essex Street, Brooklyn, NY 11208 | 2016-08-31 |
| 1699121079 | Sarah Bipath | Speech-Language Pathologist | 2944 Pitkin Ave, Brooklyn, NY 11208 | 2016-05-04 |
| 1184087074 | Instacareems | Special Hospital | 688 Crescent Street, Brooklyn, NY 11208 | 2016-03-30 |
| 1073988549 | Mutiat Yusuf | Licensed Practical Nurse | 675 Lincoln Avenue Apt 11m, Brooklyn, NY 11208 | 2015-12-09 |
| Find all providers in zip 11208 | ||||
| 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 |
|---|---|---|---|---|
| 1376916668 | Independent Living Association, Inc. | Intermediate Care Facility, Mentally Retarded | 110 York St Fl 4, Brooklyn, NY 11201-1412 | 2015-11-09 |
| 1093139776 | Heartshare Human Services of New York | Intermediate Care Facility, Mentally Retarded | 12 Metrotech Ctr Fl 29, Brooklyn, NY 11201-3858 | 2014-02-14 |
| 1578843975 | Elmys Special Services | Intermediate Care Facility, Mentally Retarded | 163 Van Buren St, Brooklyn, NY 11221-1318 | 2011-08-17 |
| 1881982346 | Heartshare Human Sevices of New York | Intermediate Care Facility, Mentally Retarded | 131 Bay 19th St, 1st Floor, Brooklyn, NY 11214-4607 | 2011-07-19 |
| 1205139847 | Birch Family Services, Inc. | Intermediate Care Facility, Mentally Retarded | 418 Grove St Unit A, Brooklyn, NY 11237-5507 | 2010-12-20 |
| 1023311669 | Birch Family Services, Inc. | Intermediate Care Facility, Mentally Retarded | 418 Grove St Unit B, Brooklyn, NY 11237-5507 | 2010-12-20 |
| 1336309954 | Pesach Tikvah Hope Development Inc. | Intermediate Care Facility, Mentally Retarded | 274 Division Ave, Brooklyn, NY 11211-7305 | 2008-06-17 |
| 1639348022 | Mercy Home for Childen, Inc. | Intermediate Care Facility, Mentally Retarded | 345 Warren St, Brooklyn, NY 11201-6412 | 2008-02-29 |
| 1386813772 | Mercy Home for Children, Inc. | Intermediate Care Facility, Mentally Retarded | 114 Sixth Avenue, Brooklyn, NY 11217-4417 | 2008-02-29 |
| 1720258155 | Mercy Home for Children, Inc. | Intermediate Care Facility, Mentally Retarded | 259 North 5th Street, Brooklyn, NY 11211-3325 | 2008-02-29 |
| 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.