The Dennelisse Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0562L001 Issued in NY

Legal business name

THE DENNELISSE CORPORATION

Practice address

460 Willis Ave FL 2
Bronx, NY 10455-4013

Phone

(212) 265-8320

Fax

(212) 246-2547

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Geoffrey Anaele

Title

Cfo

Phone

(212) 265-8320

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• DENNELISSE LHCSA Doing business as

Tax ID family

Dennelisse Lhcsa3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• The Dennelisse Corporation

  • Case Management Agency
  • New York, NY
  • NPI 1043340474
  NPD tax ID
• The Dennelisse Corporation

  • Community/Behavioral Health Agency
  • Bronx, NY
  • NPI 1861143521
  NPD tax ID

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1043385214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 WILLIS AVE FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554013",
            "telephone_number": "212-265-8320",
            "fax_number": "212-246-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 WILLIS AVE FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554013",
            "telephone_number": "212-265-8320",
            "fax_number": "212-246-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENNELISSE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "ANAELE",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "212-265-8320",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "0562L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043340474",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01449994",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENNELISSE LHCSA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Thawley, MS OTR/L
• Roshan Thayalan, MD
• The Art of Becoming, Inc.
• The Bronx-Lebanon Highbridge Woodycrest Center
• The Children'S Aid Society
• The Dennelisse Corporation
• The Drivers Cooperative, Inc.
• The Excellent Car Service, Inc
• The Family Medicine Center
• The Fleurantin Corp

• Home Health Agency in Bronx, NY
• Providers in Bronx, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.