PROVIDENCE CARE INC (NPI# 1467869602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467869602 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE CARE INC |
| Practice Address |
835 Herkimer St Brooklyn NY 11233-3031 |
| Practice Telephone | 7182212600 |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |
| Authorized Official Name | LEOPOLD FRIEDMAN (BOARD OF DIRECTORS) |
| Authorized Official Telephone | 3474612177 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NY | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174026736 | Providence Care Inc | Registered Nurse | 808 Bristol Dr, Smyrna, TN 37167-8329 | 2018-03-09 |
| 1245376375 | Providence Care Inc | Nursing Care | 5711 Sarvis Ave Ste 608, Riverdale, MD 20737-1394 | 2007-01-29 |
| 1376805630 | Providence Care Inc | Community/Behavioral Health | 216 Nw Broad St Ste B, Fairburn, GA 30213-4106 | 2012-06-13 |
| 1477860112 | Providence Care Inc | Internal Medicine | 8929 Parallel Pkwy, Kansas City, KS 66112-1689 | 2010-09-01 |
| 1962684241 | Providence Care Inc | Pharmacy | 6434 Saratoga Blvd, Ste A, Corpus Christi, TX 78414-3425 | 2007-11-29 |
| Street Address |
835 HERKIMER ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11233-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225080401 | Joseph Navarro Chavez | Physical Therapist | 835 Herkimer St, Brooklyn, NY 11233-3031 | 2006-05-16 |
| 1235759036 | Brooklyn Gardens Dialysis Center LLC | Clinic/Center | 835 Herkimer St, Brooklyn, NY 11233-3031 | 2020-04-21 |
| 1265904700 | Bora Kim | Occupational Therapist | 835 Herkimer St, Brooklyn, NY 11233-3031 | 2018-12-21 |
| 1396031555 | Susan Samuels | Nurse Practitioner | 835 Herkimer St, Brooklyn, NY 11233-3031 | 2011-06-24 |
| 1376617100 | Bishop Henry B Hucles Enh Adc | Clinic/Center | 835 Herkimer St, Brooklyn, NY 11233-3031 | 2006-11-20 |
| 1831262856 | Bishop Henry B Hucles Episcopal Nursing Home | Skilled Nursing Facility | 835 Herkimer St, Brooklyn, NY 11233-3031 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467066381 | Elisa Jeanne Smith | Social Worker | 1505 St. Marks Ave, Clinical Office, Brooklyn, NY 11233 | 2020-09-08 |
| 1154968493 | Jahmani Hylton | Social Worker | 451 Macon Street, Ground Floor, Brooklyn, NY 11233 | 2019-12-05 |
| 1487121935 | Kimberly Ramsay | Social Worker | 1847 Prospect Place, Basement, Brooklyn, NY 11233 | 2018-11-01 |
| 1952823874 | Valerie A Davis | Specialist | 1769 Park Place, 1a, Brooklyn, NY 11233 | 2017-07-12 |
| 1053833988 | Griselda Colmena | Case Manager/Care Coordinator | 1765 Prospect Pl, 2h, Brooklyn, NY 11233 | 2017-07-12 |
| 1316476724 | Juliana Susannah Green Peters | Registered Nurse | 887 Hancock St, Brooklyn, NY 11233 | 2017-06-08 |
| 1043744816 | Marjorie Direny | Social Worker | 23484 Atlantic Ave, Brooklyn, NY 11233 | 2017-04-18 |
| 1467999169 | Myint M Nwe | Student in an Organized Health Care Education/Training Program | #30 Kane Place, Brooklyn, New York City, NY 11233 | 2017-01-20 |
| 1053857417 | Lateefat Lawal | Case Manager/Care Coordinator | 216 Rockaway Ave, Apt 22a, Brooklyn, NY 11233 | 2017-01-10 |
| 1932659232 | Tonetta Arnold | Counselor | 1569 Prospect, 6b, Brooklyn, NY 11233 | 2016-10-11 |
| Find all providers in zip 11233 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477049807 | Itkin Occupational Therapy PC | Skilled Nursing Facility | 134 Mackenzie Street, Brooklyn, NY 11235 | 2018-07-09 |
| 1699280826 | 239 Legris Avenue Operations LLC | Skilled Nursing Facility | 3118 Quentin Rd, Brooklyn, NY 11234-4235 | 2017-12-11 |
| 1194142661 | Hunter Services Center Inc. | Skilled Nursing Facility | 202 E 91st St, A19, Brooklyn, NY 11212-1355 | 2014-03-24 |
| 1477986172 | Hamilton Park Opco LLC | Skilled Nursing Facility | 14c 53rd St, Brooklyn, NY 11232-2644 | 2013-08-16 |
| 1578899076 | Hamilton Park Multicare LLC | Skilled Nursing Facility | 691 92nd St Fl 2, Brooklyn, NY 11228 | 2009-10-19 |
| 1497994800 | Ditmas Park Rehabilitation & Care Center LLC | Skilled Nursing Facility | 2107 Ditmas Ave, Brooklyn, NY 11226-6903 | 2009-02-09 |
| 1992950976 | Menorah Home and Hospital for Aged and Infirm | Skilled Nursing Facility | 871 Bushwick Ave, Brooklyn, NY 11221-3739 | 2008-11-18 |
| 1043492416 | Embassy Snf LLC | Skilled Nursing Facility | 921 E 31st St, Suite 101, Brooklyn, NY 11210-3831 | 2007-11-28 |
| 1376743112 | American Biomed Homecare | Skilled Nursing Facility | 11 Wyona St, Brooklyn, NY 11207-2515 | 2007-07-19 |
| 1881719078 | Etienne Home Care Services,inc | Skilled Nursing Facility | 2920a Cortelyou Rd, Brooklyn, NY 11226 | 2007-03-20 |
| 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.