Organization Active NPI

Edify Communities of New York

Doing business as Redwood Social Adult Day Center

  • Community/Behavioral Health Agency
  • Brooklyn, NY
National Provider Identifier
1548676802
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EDIFY COMMUNITIES OF NEW YORK
Doing business as
Redwood Social Adult Day Center
Practice address
859 Hendrix St
Brooklyn, NY 11207-7901
Phone
(718) 257-1300
Fax
(718) 257-8767
NPI assigned
Jul 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Dr. Angela Moses, PHD
Title
Executive Director
Phone
(347) 623-4460

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

859 Hendrix St
Brooklyn, NY 11207-7901

Mailing address

859 Hendrix St
Brooklyn, NY 11207-7901
Phone (718) 257-1300

Other names 1

  • Redwood Social Adult Day Center Doing business as

National Provider Directory

National Provider Directory

Locations

859 Hendrix St
Brooklyn, NY 11207
Phone (718) 257-1300

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1548676802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 HENDRIX ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112077901",
            "telephone_number": "718-257-1300",
            "fax_number": "718-257-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 HENDRIX ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112077901",
            "telephone_number": "718-257-1300",
            "fax_number": "718-257-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDIFY COMMUNITIES OF NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "347-623-4460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redwood Social Adult Day Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.