Organization Active NPI

Elderedge Inc.

  • Case Management Agency
  • Bronx, NY
National Provider Identifier
1649974601
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Jun 27, 2025

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

Authorized official

Name
Kalia HarrisNPI 1063303402
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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.