Active NPI
Welllife Network Inc
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- College Point, NY
National Provider Identifier
1265596779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 01282080
- Legal business name
- WELLLIFE NETWORK INC
- Practice address
- 130-03 7TH Avenue
College Point, NY 11356 - Phone
- (718) 886-4739
- NPI assigned
- Dec 20, 2006
- 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
- Ms. Lori Alameda
- Title
- Senior Vice President - Cfo
- Phone
- (347) 542-5616
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 01282080 | NY | Primary |
Addresses
Primary practice location
130-03 7TH Avenue
College Point, NY 11356
Mailing address
142-02 20TH Avenue
Flushing, NY 11351-9712
Phone (718) 559-0516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01282080 | Medicaid | NY |
Other names 1
- Promoting Specialized Care & Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Intermediate care facility for individuals with intellectual disabilities certification: CCN 33H198
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- WELLLIFE NETWORK, INC
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Feb 24, 1992
- Last certification
- Dec 18, 2025
- Beds
- 10
- Ownership / control type
- Private (non-profit)
- Facility address
- 130-03 7TH Ave
College Point, NY 11356
National Provider Directory
National Provider Directory- Tax ID family
- Promoting Specialized Care Health
Other organizations with this tax ID 24
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- South Richmond Hill, NY
- NPI 1841354131
-
- Community/Behavioral Health Agency
- Astoria, NY
- NPI 1124351853
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Brooklyn, NY
- NPI 1417011776
-
- Community/Behavioral Health Agency
- College Point, NY
- NPI 1609029909
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Richmond Hill, NY
- NPI 1265596829
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Brooklyn, NY
- NPI 1316001837
-
- Clinic/Center
- Astoria, NY
- NPI 1417011974
-
- Case Management Agency
- Jamaica, NY
- NPI 1437313822
-
- Clinic/Center
- Flushing, NY
- NPI 1487718771
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Flushing, NY
- NPI 1548324171
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Springfield Gardens, NY
- NPI 1578627170
-
- Mental Illness Intermediate Care Facility
- Brooklyn, NY
- NPI 1659505824
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Bronx, NY
- NPI 1376546853
NPI Registry JSON
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": "1265596779",
"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": "130-03 7TH AVENUE",
"city": "COLLEGE POINT",
"state": "NY",
"postal_code": "11356",
"telephone_number": "718-886-4739"
}
],
"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": "01282080",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01282080",
"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"
}
]
}Other providers in College Point, NY
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.