MERCY HOME FOR CHILDREN, INC. (NPI# 1720258155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720258155 |
| Entity Type | Organization |
| Organization Name | MERCY HOME FOR CHILDREN, INC. |
| Practice Address |
259 North 5th Street Brooklyn NY 11211-3325 |
| Mailing Address |
243 Prospect Park W Brooklyn NY 11215-5807 |
| Practice Telephone | 7183020957 |
| Practice Fax Number | 7183022495 |
| Mailing Telephone | 7188321075 |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |
| Authorized Official Name | SR. CATHERINE CRUMLISH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7188321075 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICAID PROVIDER ID # | 01055169 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144497280 | Mercy Home for Children, Inc. | Voluntary or Charitable | 243 Prospect Park W, Brooklyn, NY 11215-5807 | 2008-05-08 |
| 1386813772 | Mercy Home for Children, Inc. | Intermediate Care Facility, Mentally Retarded | 114 Sixth Avenue, Brooklyn, NY 11217-4417 | 2008-02-29 |
| 1306015821 | Mercy Home for Children, Inc. | Intermediate Care Facility, Mentally Retarded | 104 Richards St, Brooklyn, NY 11231-1623 | 2008-02-28 |
| 1982873402 | Mercy Home for Children, Inc. | Intermediate Care Facility, Mentally Retarded | 878 Manhattan Ave, Brooklyn, NY 11222-2309 | 2008-02-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY HOME FOR CHILDREN, INC. | 273 Willoughby Ave, Brooklyn, NY 11205-1418 |
| Street Address |
259 NORTH 5TH STREET |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11211-3325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068407 | Kent Russell Siady | Physical Therapist | 240 South 3rd.street, Brooklyn, NY 11211 | 2020-03-19 |
| 1285268623 | Rafieh Pharmacy | Pharmacy | 70 Lee Ave Store, Brooklyn, NY 11211 | 2020-02-25 |
| 1306314471 | Incontrol Nutrition | Dietitian, Registered | 378 Union Avenue, Office C, Brooklyn, NY 11211 | 2018-11-07 |
| 1073027751 | Alicia Perez | Counselor | 141 South 5th Street, Office West #6, Brooklyn, NY 11211 | 2017-11-16 |
| 1003350265 | Hani Alsergani | Internal Medicine | King Faisal Specialist Hospital. Heart Center., Takasussi Street. Mbc 16, Riyadh, CENTRAL 11211 | 2016-12-07 |
| 1043769805 | Jennifer S Budhan | Social Worker | 378 Union Ave, Office B, Brooklyn, NY 11211 | 2016-09-21 |
| 1174978613 | Amor Siozon | Physical Therapist | 185 Marcy Avenue, Brooklyn, NY 11211 | 2016-05-03 |
| 1649656638 | Albalis Chavez | Specialist | 334 South Third Street. Apt. 3c, Brooklyn, NY 11211 | 2015-08-03 |
| 1114315033 | Maja Mirkovic | Dietitian, Registered | 378 Union Avenue, Office C, Brooklyn, NY 11211 | 2014-12-30 |
| 1447687033 | Sarah Maria Johnson | Counselor | 190 S8 St. Apt. 14, Brooklyn, NY 11211 | 2013-09-27 |
| Find all providers in zip 11211 | ||||
| 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 |
| 1962671479 | Young Adult Institute, Inc. | Intermediate Care Facility, Mentally Retarded | 2657 E 13th St, Brooklyn, NY 11235-4402 | 2008-02-28 |
| 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.