Welllife Network Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

01116678 Issued in NY

Legal business name

WELLLIFE NETWORK INC

Practice address

8806 195TH PL
Hollis, NY 11423-2029

Phone

(718) 776-0280

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Lori Alameda

Title

Cfo

Phone

(347) 542-5616

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Promoting Specialized Care Health25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

• PSCH, Inc

  • Clinic/Center
  • South Richmond Hill, NY
  • NPI 1841354131
  NPD tax ID
• PSCH, Inc.

  • Community/Behavioral Health Agency
  • Astoria, NY
  • NPI 1124351853
  NPD tax ID
• PSCH, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Brooklyn, NY
  • NPI 1417011776
  NPD tax ID
• PSCH, Inc.

  • Community/Behavioral Health Agency
  • College Point, NY
  • NPI 1609029909
  NPD tax ID
• PSCH. Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Richmond Hill, NY
  • NPI 1265596829
  NPD tax ID
• PSCH. Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Brooklyn, NY
  • NPI 1316001837
  NPD tax ID
• PSCH. Inc

  • Clinic/Center
  • Astoria, NY
  • NPI 1417011974
  NPD tax ID
• PSCH. Inc

  • Case Management Agency
  • Jamaica, NY
  • NPI 1437313822
  NPD tax ID
• PSCH. Inc

  • Clinic/Center
  • Flushing, NY
  • NPI 1487718771
  NPD tax ID
• PSCH. Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Flushing, NY
  • NPI 1548324171
  NPD tax ID
• PSCH. Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Springfield Gardens, NY
  • NPI 1578627170
  NPD tax ID
• PSCH. Inc

  • Mental Illness Intermediate Care Facility
  • Brooklyn, NY
  • NPI 1659505824
  NPD tax ID

Locations

Practitioners 2

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

• Michael Charles Edelstein, DPM

  • Podiatrist
  • Bronx, NY
  • NPI 1376546853
  NPD (past)
• Abdul Ali Khuwaja, MD

  • Hematology & Oncology Physician
  • Astoria, NY
  • NPI 1063442226
  NPD (past)

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": "1316001902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 119TH ST",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562516",
            "telephone_number": "718-445-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8806 195TH PL",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232029",
            "telephone_number": "718-776-0280"
        }
    ],
    "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": "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": "01116678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01116678",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walk-in Pediatric Care PLLC
• Hertha Walters
• Li-Chieh Wang
• Phyllis Dunn Weiner, MD
• Merle Gloria Wellington, LPN
• Monique Pamela-Ann Wheeler
• Quiana White
• Viola Christine White, FNP
• Damel M Williamson
• Bernadette Winn, RN

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hollis, NY
• Providers in Hollis, NY by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.