Elderserve Health, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

C026584 Issued in NY

Legal business name

ELDERSERVE HEALTH, INC.

Practice address

94 W 225TH St FL 2
Bronx, NY 10463-7021

Phone

(800) 370-3600

NPI assigned

Sep 16, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Susan Y. Aldrich

Title

Executive Vice President

Phone

(800) 370-3600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1386952992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 W 225TH ST FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104637021",
            "telephone_number": "800-370-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 W 225TH ST FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104637021",
            "telephone_number": "800-370-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERSERVE HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "ALDRICH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "800-370-3600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "C026584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03234044",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elder Psychological Solutions PC
• Gregory Allen Elder, M.D.
• Elderedge Inc.
• Elderedge Inc.
• Kellyann E Eldermire, PHARMD
• Elderserve Social Model Day Care
• Sherri Eldin, DO
• Sheila Eldridge, MBA, MT(ASCP)
• Amrou Hussien Eldsoky, PHARMACIST
• Minnie Eleby

• Health Maintenance Organization in Bronx, NY
• Providers in Bronx, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.