NPIMap

Organization Active NPI

Puerto Rican Family Laconia

  • Intellectual Disabilities Intermediate Care Facility
  • New York, NY
National Provider Identifier
1689864027
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
06270440 Issued in NY
Legal business name
PUERTO RICAN FAMILY LACONIA
Practice address
145 W 15TH St FL 2
New York, NY 10011-6701
Phone
(212) 414-7822
Fax
(212) 691-5635
NPI assigned
Aug 1, 2007
Last updated
Mar 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Karl Cina
Title
Controller
Phone
(212) 229-6921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 06270440 NY Primary

Addresses

Primary practice location

145 W 15TH St FL 2
New York, NY 10011-6701

Mailing address

3050 Laconia Ave
Bronx, NY 10469-1402
Phone (212) 414-7822

Other identifiers 1

IdentifierTypeStateIssuer
00357135MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Puerto Rican Family Institute Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1689864027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 LACONIA AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104691402",
            "telephone_number": "212-414-7822",
            "fax_number": "212-691-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W 15TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116701",
            "telephone_number": "212-414-7822",
            "fax_number": "212-691-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICAN FAMILY LACONIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "CINA",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "212-229-6921"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NY",
            "license": "06270440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00357135",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 24, 2008; 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.