Promesa Adult Day Health Care

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

PROMESA ADULT DAY HEALTH CARE

Practice address

915 Westchester Avenue
Bronx, NY 10457

Phone

(347) 649-3083

Fax

(347) 649-3090

NPI assigned

Dec 6, 2006

Organization subpart

Yes

Parent organization

PROMESA RESIDENTIAL HEALTHCARE FACILITY, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Milton Derienzo

Title

Chief Financial Officier

Phone

(347) 649-3083

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Promesa Residential Health Care Facility Inc2 organizations share this tax ID, including this one

Part of

Promesa Residential Health Care Facility Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Promesa Residential Health Care Facility, Inc.

  • Skilled Nursing Facility
  • Bronx, NY
  • NPI 1801833652
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1043379332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 EAST 175TH STREET",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10457",
            "telephone_number": "347-649-3083",
            "fax_number": "347-649-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 WESTCHESTER AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10457",
            "telephone_number": "347-649-3083",
            "fax_number": "347-649-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMESA ADULT DAY HEALTH CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROMESA RESIDENTIAL HEALTHCARE FACILITY, INC",
        "enumeration_date": "2006-12-06",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "DERIENZO",
        "authorized_official_first_name": "MILTON",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICIER",
        "authorized_official_telephone_number": "347-649-3083",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02357688",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Project Samaritan Health Services, Inc.
• Promed Personnel Service
• Promesa Residential Health Care Facility, Inc.
• Prominence Medical Supplies LLC
• Promisa Pharmacy Inc.
• Promise Home Care Agency Inc.
• Promise Home Care Agency, Inc

• Adult Day Care Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Adult Day Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.