MERCY HOME FOR CHILDREN, INC., (NPI# 1053580589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053580589 |
| Entity Type | Organization |
| Organization Name | MERCY HOME FOR CHILDREN, INC., |
| Practice Address |
13721 Brookville Blvd Rosedale NY 11422-1722 |
| Mailing Address |
243 Prospect Park W Brooklyn NY 11215-5807 |
| Practice Telephone | 7185273346 |
| Practice Fax Number | 7185272754 |
| Mailing Telephone | 7188321075 |
| Mailing Fax Number | 7184999189 |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-03-11 |
| Authorized Official Name | 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 # | 00988174 | 01 |
| Street Address |
13721 BROOKVILLE BLVD |
| City | ROSEDALE |
| State | NY |
| Zip Code | 11422-1722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144870254 | Berline Bazilme | Physical Therapy Assistant | 13721 Brookville Blvd, Rosedale, NY 11422-1722 | 2019-09-19 |
| 1669994745 | Matthew Bach | Registered Nurse | 13721 Brookville Blvd, Rosedale, NY 11422-1722 | 2017-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447791116 | Home Companion Services,inc. | In Home Supportive Care | 25311 147th Dr, Rosedale, NY 11422 | 2017-03-15 |
| 1508302779 | Rayne Shomo | Licensed Practical Nurse | 249-22 144th Ave, Rosedale, NY 11422 | 2017-01-12 |
| 1194277491 | Kettely Francois | Nurse Practitioner | 149-86 253 Rd Street, Rosedale, NY 11422 | 2016-11-03 |
| 1578019410 | Maureen Mckenzie | Registered Nurse | 241-25 148th Drive, Rosedale, NY 11422 | 2016-08-31 |
| 1386097657 | A Touch That Cares Home Services | Home Health | 13891 Francis Lewis Blvd, Rosedale, NY 11422 | 2016-07-21 |
| 1093160293 | Regine St. Leger | Registered Nurse | 128-07 236th Street, Rosedale, NY 11422 | 2016-04-26 |
| 1942664115 | Raising In The Sun, Ltd | Early Intervention Provider Agency | 257-04 149th Avenue, Rosedale, NY 11422 | 2016-04-13 |
| 1740656958 | Jaelle Jeudy | Licensed Practical Nurse | 243-59 Mayda Rd, Rosedale, NY 11422 | 2015-08-12 |
| 1851785380 | Elizabeth Madison Nutrition, Pllc | Clinic/Center | 13333 Brookville Boulevard, Suite 229c, Rosedale, NY 11422 | 2015-03-23 |
| 1659763894 | Leonard Barrett | Nutritionist | 220 01 Jamaica Av., Queens, NY 11422 | 2015-02-25 |
| Find all providers in zip 11422 | ||||
| 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 |
|---|---|---|---|---|
| 1336762665 | Schuyler County Chapter, Nysarc, Inc. | Intermediate Care Facility, Mentally Retarded | 260 W 8th St, Elmira Heights, NY 14903-1502 | 2020-05-21 |
| 1518580851 | Schuyler County Chapter, Nysarc, Inc. | Intermediate Care Facility, Mentally Retarded | 525 Liberty St, Elmira, NY 14904-1517 | 2020-05-21 |
| 1386276541 | United Cerebral Palsy of Nyc Inc | Intermediate Care Facility, Mentally Retarded | 1841-1845 Lacombe Ave, Bronx, NY 10472 | 2020-02-06 |
| 1003447012 | State of New York | Intermediate Care Facility, Mentally Retarded | 8045 Winchester Blvd Bldg 08, Queens Village, NY 11427-2194 | 2020-01-29 |
| 1427696061 | Elderberry Icf | Intermediate Care Facility, Mentally Retarded | 15 Poem Place, Monticello, NY 12701 | 2019-12-13 |
| 1538666052 | Upstate Cerebral Palsy, Inc. | Intermediate Care Facility, Mentally Retarded | 95 Seymour Lane, Westmoreland, NY 13490 | 2018-04-11 |
| 1457857716 | Nysarc, Inc. Cattaraugus-niagara County Chapter | Intermediate Care Facility, Mentally Retarded | 6821 Saunders Settlement Rd, Sanborn, NY 14132-9440 | 2018-04-04 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1962959403 | Linda Burgess | Intermediate Care Facility, Mentally Retarded | 35 E 8th Ave, Gloversville, NY 12078-2229 | 2016-09-01 |
| 1154774727 | Birch Family Services, Inc. | Intermediate Care Facility, Mentally Retarded | 525 W 149th St, New York, NY 10031-3402 | 2016-07-19 |
| Find all providers with the same taxonomy | ||||
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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.