BLACK ICE PRODUCTION (NPI# 1821238486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821238486 |
| Entity Type | Organization |
| Organization Name | BLACK ICE PRODUCTION |
| Other Organization Name | BLACK ICE PRO |
| Practice Address |
1001 East Street Brooklyn NY 11210 |
| Mailing Address |
1001 E 37th St Brooklyn NY 11210-3431 |
| Practice Telephone | 3472408070 |
| Mailing Telephone | 13472408070 |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2009-02-23 |
| Authorized Official Name | MR. ANDRE M GIBSON (MANGER) |
| Authorized Official Telephone | 3472408070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 284300000X | Special Hospital | Hospitals | ||
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 071465614 | NY | Agencies |
| Other Name | Type Code |
|---|---|
| BLACK ICE PRO | Doing Business As Name - Organization |
| Street Address |
1001 EAST STREET |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379554 | Maureen Rene | Health Educator | 3601 Avenue J Apartment C6, Brooklyn, NY 11210 | 2020-09-06 |
| 1346859501 | Karece Lopez | Speech-Language Pathologist | 2665 Bedford Avenue, 2c, Brooklyn, NY 11210 | 2020-07-23 |
| 1164049078 | Christopher Rose Community Empowerment Campaign | Voluntary or Charitable | 1404 Brooklyn Ave, Brooklyn, NY 11210 | 2020-06-26 |
| 1487296455 | Venture Kids Inc | Day Training, Developmentally Disabled Services | 1731 Flatbush Ave, Brooklyn, NY 11210 | 2019-10-11 |
| 1689131773 | Florence Nkiruka Okafor | Case Manager/Care Coordinator | 858 E 29th St., Brooklyn Ny 11210, Brooklyn, NY 11210 | 2019-02-25 |
| 1508339854 | Sharon Senior-anderson | Behavioral Analyst | 858 E. 29th St., Brooklyn, NY 11210 | 2019-01-09 |
| 1952874208 | Luz Liriano | Behavioral Analyst | 858 E. 29th Street, Brooklyn, Ny 11210, Brooklyn, NY 11210 | 2019-01-09 |
| 1073086492 | Sharon L Bradley | Behavioral Analyst | 853 E 29th St, Brooklyn, NY 11210 | 2019-01-08 |
| 1922571348 | Anderson J Ali | Counselor | 859 E 29th St, Brooklyn, NY 11210 | 2019-01-08 |
| 1720553266 | Live Life Rehab Services LLC | Occupational Therapist | 3101 Ave I, Apt 1c, Brooklyn, NY 11210 | 2018-10-11 |
| Find all providers in zip 11210 | ||||
| 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.