Active NPI
Welllife Network Inc
Doing business as Promoting Specialized Care & Health
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- East Elmhurst, NY
National Provider Identifier
1447314042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 01141313
- Legal business name
- WELLLIFE NETWORK INC
- Doing business as
- Promoting Specialized Care & Health
- Practice address
- 2729 Butler St
East Elmhurst, NY 11369-1927 - Phone
- (718) 478-1397
- NPI assigned
- Dec 20, 2006
- Last updated
- Dec 16, 2020
- 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
- Cfo
- Phone
- (347) 542-5616
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 01141313 | NY | Primary |
Addresses
Primary practice location
2729 Butler St
East Elmhurst, NY 11369-1927
Mailing address
142-02 20TH Avenue
Flushing, NY 11351-9712
Phone (718) 559-0516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01141313 | Medicaid | NY |
Other names 1
- Promoting Specialized Care & Health
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.
-
dba Promoting Specialized Care & Health
- 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
-
dba Promoting Specialized Care & Health
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Richmond Hill, NY
- NPI 1265596829
-
dba Promoting Specialized Care & Health
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Brooklyn, NY
- NPI 1316001837
-
dba Promoting Specialized Care & Health
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Flushing, NY
- NPI 1548324171
-
dba Promoting Specialized Care & Health
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Springfield Gardens, NY
- NPI 1578627170
-
dba Promoting Specialized Care & Health
- Mental Illness Intermediate Care Facility
- Brooklyn, NY
- NPI 1659505824
Locations
14202 20th Ave
Flushing, NY 11351
Phone (718) 559-0516
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Nurse
- East Elmhurst, NY
- NPI 1720612823
-
- Hematology & Oncology Physician
- Astoria, NY
- NPI 1063442226
-
- Registered Nurse
- East Elmhurst, NY
- NPI 1548803786
-
- Psychiatric/Mental Health Nurse Practitioner
- Palm Harbor, FL
- NPI 1245854926
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": "1447314042",
"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": "2729 BUTLER ST",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113691927",
"telephone_number": "718-478-1397"
}
],
"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": "01141313",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01141313",
"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 East Elmhurst, 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.