BUSHWICK ECONOMIC DEVELOPMENT CORP (NPI# 1639361637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639361637 |
| Entity Type | Organization |
| Organization Name | BUSHWICK ECONOMIC DEVELOPMENT CORP |
| Practice Address |
629 Chauncey St Brooklyn NY 11207-1413 |
| Mailing Address |
61 Cooper Brooklyn NY 11207-1413 |
| Practice Telephone | 7186283102 |
| Practice Fax Number | 7185736294 |
| Mailing Telephone | 7186283102 |
| Mailing Fax Number | 7185736294 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |
| Authorized Official Name | MR. FRANK BOSWELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7186283102 |
| Authorized Official Credential | BA DEGREE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
629 CHAUNCEY ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11207-1413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356817142 | Tajeet Singh | Licensed Practical Nurse | 174 East 51, Brooklyn, NY 11207 | 2018-10-18 |
| 1801306147 | Ebony Herring | Counselor | 2640 Pitkin Avenue, Brooklyn, NY 11207 | 2017-09-30 |
| 1780106153 | Ivonne Perry | Registered Nurse | 35 Mc Clancy Pl, Brooklyn, NY 11207 | 2017-07-07 |
| 1548700925 | Special Medical PC | Family Medicine | 699 B Stanley Avenue, Brooklyn, NY 11207 | 2017-03-03 |
| 1003368333 | Alison Deborah Kahler | Social Worker | 557 Pennsylvania Ave, Room 155, Icl School Based Program At Ps13, Brooklyn, NY 11207 | 2016-11-03 |
| 1942757836 | Melissa Santana | Counselor | Bushwick Child and Family Mental Health Center, 102 Pilling Street, Brooklyn, NY 11207 | 2016-09-08 |
| 1871943050 | Joan Murrell | Licensed Practical Nurse | 297 Bradford St, Brooklyn, NY 11207 | 2016-06-17 |
| 1386019321 | Marta Josephine Jablonka I | Peer Specialist | 137 Dewitt Ave, Brooklyn, NY 11207 | 2015-12-02 |
| 1962877076 | Uche Rosario Oboh | Pharmacist | Nyc Health & Hospitals Gotham Health Center, 2094 Pitkin Avenue, Brooklyn, NY 11207 | 2015-12-01 |
| 1467837997 | Dhalene Wharton | Licensed Practical Nurse | 540 Shefield Ave, Brooklyn, NY 11207 | 2015-07-27 |
| Find all providers in zip 11207 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437787355 | Quality Life Residence Inc. | Assisted Living Facility | 825 Freeman St, Brooklyn, MD 21225-1925 | 2020-03-27 |
| 1275911000 | The Palm Beach Home for Adults | Assisted Living Facility | 2900 Bragg Street, Brooklyn, NY 11235 | 2015-05-13 |
| 1023415718 | Chihkai Chi | Assisted Living Facility | 266 Prospect Park West, Brooklyn, NY 11215 | 2014-11-25 |
| 1275946873 | Moffat Gardens Alp, Inc. | Assisted Living Facility | 22 Moffat St., Administrative Suite First Floor, Brooklyn, NY 11207 | 2014-06-11 |
| 1902217862 | St. Nicks Alliance Corp. | Assisted Living Facility | 260 Powers St, Brooklyn, NY 11211-5057 | 2014-05-14 |
| 1780014886 | Oceanview Manor Home for Adults, Inc. | Assisted Living Facility | 3010 W 33rd St, Brooklyn, NY 11224-1404 | 2013-11-26 |
| 1760796437 | Carmen Rose Christian | Assisted Living Facility | 1319 E 91st St, Brooklyn, NY 11236-4213 | 2010-08-04 |
| 1922202316 | I & J Supplies Inc | Assisted Living Facility | 5377 Kings Hwy, Brooklyn, NY 11203-6704 | 2007-06-12 |
| 1871796045 | Regency of Boro Park | Assisted Living Facility | 5110 19th Ave, Brooklyn, NY 11204-1703 | 2007-06-06 |
| 1407460819 | Harbor View Senior Living Residence | Assisted Living Facility | 3900 Shore Pkwy, Brooklyn, NY 11235-1130 | 2020-09-02 |
| Find all providers in BROOKLYN | ||||
Please comment or provide details below to improve the information on BUSHWICK ECONOMIC DEVELOPMENT CORP.
| 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.