Organization Active NPI

Welllife Network Inc

Doing business as Promoting Specialized Care & Health

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Rosedale, NY
National Provider Identifier
1336203983
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
00696960 Issued in NY
Legal business name
WELLLIFE NETWORK INC
Doing business as
Promoting Specialized Care & Health
Practice address
25802 Craft Ave
Rosedale, NY 11422-3029
Phone
(718) 527-8800
Fax
(718) 949-6065
NPI assigned
Dec 20, 2006
Last updated
Dec 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Authorized official

Name
Ms. Lori Alameda
Title
VP Fincance Clinical Services
Phone
(347) 542-5616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 00696960 NY Primary

Addresses

Primary practice location

25802 Craft Ave
Rosedale, NY 11422-3029

Mailing address

142-02 20TH Avenue
Flushing, NY 11351-9712
Phone (718) 559-0516

Other identifiers 1

IdentifierTypeStateIssuer
00696960MedicaidNY

Other names 1

  • Promoting Specialized Care & Health Doing business as

National Provider Directory

National Provider Directory
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.

View all 24

Locations

25802 Craft Ave
Rosedale, NY 11422
Phone (718) 527-8800

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": "1336203983",
    "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": "25802 CRAFT AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114223029",
            "telephone_number": "718-527-8800",
            "fax_number": "718-949-6065"
        }
    ],
    "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": "VP FINCANCE CLINICAL SERVICES",
        "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": "00696960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00696960",
            "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 Rosedale, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.