Organization Active NPI

Community Action for Human Services Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Bronx, NY
National Provider Identifier
1316159304
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
7465440 Issued in NY
Legal business name
COMMUNITY ACTION FOR HUMAN SERVICES INC
Practice address
2225 Lodovick Avenue
Bronx, NY 10469-6445
Phone
(718) 655-7700
Fax
(718) 798-4504
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Paige C. Bond, LMSW
Title
Ceo/President
Phone
(718) 655-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 7465440 NY Primary

Addresses

Primary practice location

2225 Lodovick Avenue
Bronx, NY 10469-6445

Mailing address

2225 Lodovick Avenue
Bronx, NY 10469-6445
Phone (718) 655-7700

Other identifiers 1

IdentifierTypeStateIssuer
00717804MedicaidNY

National Provider Directory

National Provider Directory

Locations

2225 Lodovick Ave
Bronx, NY 10469
Phone (718) 655-7700

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1316159304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 LODOVICK AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104696445",
            "telephone_number": "718-655-7700",
            "fax_number": "718-798-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 LODOVICK AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104696445",
            "telephone_number": "718-655-7700",
            "fax_number": "718-798-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACTION FOR HUMAN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "718-655-7700",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NY",
            "license": "7465440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00717804",
            "state": "NY"
        }
    ],
    "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 Dec 15, 2016; 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.