Welllife Network Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

00896502 Issued in NY

Legal business name

WELLLIFE NETWORK INC

Practice address

1663 Madison St
Ridgewood, NY 11385-3548

Phone

(718) 417-3232

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Lori Alameda

Title

Senior Vice President - Cfo

Phone

(347) 542-5616

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Promoting Specialized Care & Health Doing business as

Tax ID family

Promoting Specialized Care Health25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

• PSCH, Inc

  • Clinic/Center
  • South Richmond Hill, NY
  • NPI 1841354131
  NPD tax ID
• PSCH, Inc.

  • Community/Behavioral Health Agency
  • Astoria, NY
  • NPI 1124351853
  NPD tax ID
• PSCH, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Brooklyn, NY
  • NPI 1417011776
  NPD tax ID
• PSCH, Inc.

  • Community/Behavioral Health Agency
  • College Point, NY
  • NPI 1609029909
  NPD tax ID
• PSCH. Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Richmond Hill, NY
  • NPI 1265596829
  NPD tax ID
• PSCH. Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Brooklyn, NY
  • NPI 1316001837
  NPD tax ID
• PSCH. Inc

  • Clinic/Center
  • Astoria, NY
  • NPI 1417011974
  NPD tax ID
• PSCH. Inc

  • Case Management Agency
  • Jamaica, NY
  • NPI 1437313822
  NPD tax ID
• PSCH. Inc

  • Clinic/Center
  • Flushing, NY
  • NPI 1487718771
  NPD tax ID
• PSCH. Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Flushing, NY
  • NPI 1548324171
  NPD tax ID
• PSCH. Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Springfield Gardens, NY
  • NPI 1578627170
  NPD tax ID
• PSCH. Inc

  • Mental Illness Intermediate Care Facility
  • Brooklyn, NY
  • NPI 1659505824
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abdul Ali Khuwaja, MD

  • Hematology & Oncology Physician
  • Astoria, NY
  • NPI 1063442226
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1114081775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142-02 20TH AVENUE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113519712",
            "telephone_number": "718-559-0516",
            "fax_number": "718-762-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 MADISON ST",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853548",
            "telephone_number": "718-417-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLLIFE NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "ALAMEDA",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT - CFO",
        "authorized_official_telephone_number": "347-542-5616",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "00896502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00896502",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promoting Specialized Care & Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Promoting Specialized Care & Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Walkes
• Sheliya Wanmesbansatit
• Shaniqua Warren
• Wartburg Receiver LLC
• Rachel Weisberg
• Wellness Housecalls Management,LLC
• Sara J Wells
• Madonna Welsen
• Ronald S Wershba
• WFS Drug Corp.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.