Organization Active NPI

Care4Life Inc

  • Internal Medicine Physician
  • Mount Vernon, NY
National Provider Identifier
1144098534
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CARE4LIFE INC
Practice address
124 Hutchinson Blvd
Mount Vernon, NY 10552-2510
Phone
(718) 612-0304
NPI assigned
Dec 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Sowmya SreekanthNPI 1679194468
Title
President
Phone
(718) 612-0304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

124 Hutchinson Blvd
Mount Vernon, NY 10552-2510

Mailing address

124 Hutchinson Blvd
Mount Vernon, NY 10552-2510
Phone (718) 612-0304

Other practice location 1

245 5th Ave Fl 3
New York, NY 10016-8728
Phone (914) 359-5160

Other practice location 2

18 E 41st St Fl 14
New York, NY 10017-6244
Phone (914) 359-5160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240603000661 NY Part B Supplier - Clinic/Group Practice 2163964495 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Vernon, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1144098534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 HUTCHINSON BLVD",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105522510",
            "telephone_number": "718-612-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 HUTCHINSON BLVD",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105522510",
            "telephone_number": "718-612-0304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 5th Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100168728",
            "country_code": "US",
            "telephone_number": "914-359-5160",
            "fax_number": "914-863-1865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 E 41st St Fl 14",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100176244",
            "country_code": "US",
            "telephone_number": "914-359-5160",
            "fax_number": "914-863-1865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARE4LIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "SREEKANTH",
        "authorized_official_first_name": "SOWMYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-612-0304"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.