MEDICARE: PH2-SADC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency
2	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1861271876
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PH2-SADC

Provider Business Mailing Address
First Line	:	2198 FULTON ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11233-6746
Country	:	US
Telephone Number	:	917-445-9743
Fax Number	:

Provider Business Practice Location Address
First Line	:	2198 FULTON ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11233-6746
Country	:	US
Telephone Number	:	347-413-5900
Fax Number	:	347-413-5909

Authorized Official
Title or Position	:	DIRECTOR/MANAGER
Name	:	EARL JONES
Credential	:	MPA
Telephone Number	:	917-445-9743

Provider Enumeration Date	:	09/28/2023
Last Update Date	:	09/28/2023

Similar Medicare Providers

1235023599 — PRECIOUS HEARTS 2 LLC
Practice Location Address:

2198 FULTON ST
BROOKLYN, NY
11233-6746

Practice Phone: 516-493-2542
Practice Fax:

1881549186 — EMMA URIBE LCSW
Practice Location Address:

745 DEAN ST APT 1
BROOKLYN, NY
11238-6746

Practice Phone: 707-695-3636
Practice Fax:

1184183402 — LAURA FLOOD
Practice Location Address:

59 ATLANTIC AVE APT 2
BROOKLYN, NY
11201-6746

Practice Phone: 917-432-9624
Practice Fax:

1619643905 — JANIE NEMS JOHNSTON LCSW
Practice Location Address:

1801 DORCHESTER RD APT 4K
BROOKLYN, NY
11226-6746

Practice Phone: 347-658-7605
Practice Fax:

1063369759 — CHRISTOPHER BLAY MA
Practice Location Address:

136 SUMPTER ST APT 3
BROOKLYN, NY
11233-2369

Practice Phone: 817-781-9137
Practice Fax:

1790676682 — WALKER & SAINT-VIL NP IN FAMILY HEALTH PC
Practice Location Address:

2130 FULTON ST
BROOKLYN, NY
11233-3218

Practice Phone: 646-914-2684
Practice Fax: 207-209-7464

Directions to “PH2-SADC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.