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ST. NICKS ALLIANCE CORP. NPI 1902217862


NPI Information

NPI: 1902217862
Provider Name: ST. NICKS ALLIANCE CORP.

Former Legal Business Name: ST. NICHOLAS NEIGHBORHOOD PRESERVATION CORP.

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
260 POWERS ST
BROOKLYN, NY
ZIP 11211
Phone: (718) 782-3390
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ST. NICKS ALLIANCE CORP. is an assisted living facility in Brooklyn, NY. The provider is 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. ST. NICKS ALLIANCE CORP. NPI is 1902217862. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is St. Nicholas Neighborhood Preservation Corp..

The provider's business location address is:

260 POWERS ST
BROOKLYN, NY
ZIP 11211-057
Phone: (718) 782-3390

The provider's authorized official is Michael Rochford .
The authorized official title is Executive Director and has the following contact phone number (718) 388-5454.

The enumeration date for this NPI number is 5/14/2014 and was last updated on 5/14/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility331-S-007NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103259029MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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