Active NPI
Elderedge Inc.
- Case Management Agency
- Bronx, NY
National Provider Identifier
1649974601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- ELDEREDGE INC.
- Practice address
- 4383 Carpenter Ave
Bronx, NY 10466-1346 - Phone
- (561) 957-3712
- NPI assigned
- Mar 27, 2023
- 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
- Kalia Harris
- Title
- Ceo
- Phone
- (561) 957-3712
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary | ||
| Transportation Broker | 347E00000X |
Addresses
Primary practice location
4383 Carpenter Ave
Bronx, NY 10466-1346
Mailing address
4383 Carpenter Ave
Bronx, NY 10466-1346
Phone (561) 957-3712
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Bronx, NY
- NPI 1063303402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750982400000",
"number": "1649974601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4383 CARPENTER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104661346",
"telephone_number": "561-957-3712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4383 CARPENTER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104661346",
"telephone_number": "561-957-3712"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELDEREDGE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-27",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "KALIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "561-957-3712"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.