Active NPI
Life Dome Adult Services
- Voluntary or Charitable Agency
- Bronx, NY
National Provider Identifier
1225296296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Legal business name
- LIFE DOME ADULT SERVICES
- Practice address
- 716 E 224TH St
Bronx, NY 10466-4206 - Phone
- (347) 439-5772
- NPI assigned
- May 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Patricia Kissi, MHP
- Title
- Executive Director
- Phone
- (347) 439-5772
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | Primary |
Addresses
Primary practice location
716 E 224TH St
Bronx, NY 10466-4206
Mailing address
716 E 224TH St
Bronx, NY 10466-4206
Phone (347) 439-5772
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Bronx, NY
- NPI 1265631261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211846400000",
"number": "1225296296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 E 224TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104664206",
"telephone_number": "347-439-5772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 E 224TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104664206",
"telephone_number": "347-439-5772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE DOME ADULT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-27",
"last_updated": "2008-05-27",
"status": "A",
"authorized_official_last_name": "KISSI",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "347-439-5772",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MHP"
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"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 May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.