NPIMap

Organization Active NPI

Village Center for Care

  • Adult Day Care Clinic/Center
  • New York, NY
National Provider Identifier
1679556450
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
7002335N Issued in NY
Legal business name
VILLAGE CENTER FOR CARE
Practice address
121 W 20TH St
New York, NY 10011-3641
Phone
(212) 337-9221
Fax
(212) 633-6587
NPI assigned
Nov 25, 2005
Organization subpart
Yes
Parent organization
VILLAGE CENTER FOR CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Authorized official

Name
Debra Tirado
Title
Cfo
Phone
(212) 337-5710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 7002335N NY Primary

Addresses

Primary practice location

121 W 20TH St
New York, NY 10011-3641

Mailing address

120 Broadway
Suite 2840
New York, NY 10271-0009
Phone (212) 337-5710

Other identifiers 1

IdentifierTypeStateIssuer
01186305MedicaidNY

Other names 1

  • 20th Street Aids Day Treatment Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Village Nursing Home Inc4 organizations share this tax ID, including this one
Part of
Village Nursing Home Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1679556450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BROADWAY",
            "address_2": "SUITE 2840",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102710009",
            "telephone_number": "212-337-5710",
            "fax_number": "212-337-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W 20TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100113641",
            "telephone_number": "212-337-9221",
            "fax_number": "212-633-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE CENTER FOR CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VILLAGE CENTER FOR CARE",
        "enumeration_date": "2005-11-25",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "TIRADO",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "212-337-5710"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": "7002335N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01186305",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "20th Street Aids Day Treatment Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "20th Street Aids Day Treatment Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.