Organization Active NPI

Restore Care Corp

  • Adult Care Home Facility
  • Bronx, NY
National Provider Identifier
1114234069
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
RESTORE CARE CORP
Practice address
1250 Grand Concourse Apt 3B
Bronx, NY 10456-2700
Phone
(256) 694-6587
NPI assigned
Sep 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Authorized official

Name
Nicodemus Muela
Title
President
Phone
(256) 694-6587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

1250 Grand Concourse Apt 3B
Bronx, NY 10456-2700

Mailing address

1250 Grand Concourse Apt 3B
Bronx, NY 10456-2700
Phone (256) 694-6587

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1114234069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 GRAND CONCOURSE APT 3B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104562700",
            "telephone_number": "256-694-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 GRAND CONCOURSE APT 3B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104562700",
            "telephone_number": "256-694-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "MUELA",
        "authorized_official_first_name": "NICODEMUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-694-6587"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.