Healthcare Provider Details

I. General information

NPI: 1932660263
Provider Name (Legal Business Name): CARE FOR THE HOMELESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2019
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 THIRD ST
BROOKLYN NY
11231
US

IV. Provider business mailing address

30 E 33RD ST FL 5
NEW YORK NY
10016-5337
US

V. Phone/Fax

Practice location:
  • Phone: 212-359-2820
  • Fax: 844-220-6945
Mailing address:
  • Phone: 212-366-4459
  • Fax: 347-823-1561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN DWAYNE SANTOS-RAMOS
Title or Position: EXECUTIVE DIRECTOR
Credential: DO
Phone: 212-355-4459