Organization Active NPI

Life Dome Adult Services

  • Voluntary or Charitable Agency
  • Bronx, NY
National Provider Identifier
1225296296
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
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

Updated by the provider on May 27, 2008

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

Authorized official

Name
Mrs. Patricia Kissi, MHPNPI 1265631261
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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.