Organization Active NPI

Village Adult Day Health Care Day Treatment Program

  • Adult Day Care Clinic/Center
  • New York, NY
National Provider Identifier
1700869534
Registry record updated Dec 15, 2010
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 ADULT DAY HEALTH CARE DAY TREATMENT PROGRAM
Practice address
644 Greenwich St
New York, NY 10014-3307
Phone
(212) 337-5878
Fax
(212) 337-5839
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 Dec 15, 2010

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

Authorized official

Name
Mrs. Emma Devito
Title
C.E.O.
Phone
(212) 337-5600

Specialties & licenses 1

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

Addresses

Primary practice location

644 Greenwich St
New York, NY 10014-3307

Mailing address

154 Christopher St
Suite 2D
New York, NY 10014-2840
Phone (212) 337-5600

Other identifiers 1

IdentifierTypeStateIssuer
01186305MedicaidNY

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": "1292371200000",
    "number": "1700869534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 CHRISTOPHER ST",
            "address_2": "SUITE 2D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100142840",
            "telephone_number": "212-337-5600",
            "fax_number": "212-337-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 GREENWICH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100143307",
            "telephone_number": "212-337-5878",
            "fax_number": "212-337-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE ADULT DAY HEALTH CARE DAY TREATMENT PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VILLAGE CENTER FOR CARE",
        "enumeration_date": "2005-11-25",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "DEVITO",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "212-337-5600",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": []
}

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 Dec 15, 2010; 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.