Promenade Middletown LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

540-F-032 Issued in NY

Legal business name

PROMENADE MIDDLETOWN LLC

Practice address

70 Fulton St
Middletown, NY 10940-5251

Phone

(845) 341-1888

Fax

(845) 344-5577

NPI assigned

Aug 27, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Steven Laufer

Title

Ceo

Phone

(845) 341-1888

Specialties & licenses 1

Addresses

Tax ID family

Promenade at Middletown LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Promenade at Middletown LLC

  • Adult Day Care Clinic/Center
  • Middletown, NY
  • NPI 1023354594
  NPD tax ID

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1770917668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 FULTON ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405251",
            "telephone_number": "845-341-1888",
            "fax_number": "845-344-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 FULTON ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405251",
            "telephone_number": "845-341-1888",
            "fax_number": "845-344-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMENADE MIDDLETOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "LAUFER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-341-1888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "540-F-032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Prioleau
• Amy E. Prisco-Ring, COTA/L
• Professional Obs-GYN of Orange Co LLP
• Marie D Prokopchak, PT
• Promenade at Middletown LLC
• Promenade Senior Centers LLC
• Prosthetic & Orthotic Associates, Inc.
• Prosthetic and Orthotic Designs, LLC
• Allison Protsko, PHARM D
• Cheryl Provencher, LPN

• Assisted Living Facility in Middletown, NY
• Providers in Middletown, NY by specialty
• Assisted Living Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.