Organization Active NPI

Promesa Residential Health Care Facility, Inc.

  • Skilled Nursing Facility
  • Bronx, NY
National Provider Identifier
1801833652
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PROMESA RESIDENTIAL HEALTH CARE FACILITY, INC.
Practice address
308 E 175TH Street
Bronx, NY 10457
Phone
(347) 649-3083
Fax
(347) 649-3090
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Vicky Gatell
Title
Chief Financial Officer
Phone
(718) 960-7568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NY Primary

Addresses

Primary practice location

308 E 175TH Street
Bronx, NY 10457

Mailing address

311 E 175TH St
Bronx, NY 10457-5859
Phone (718) 960-7568

Other identifiers 1

IdentifierTypeStateIssuer
01547355MedicaidNY

Other names 1

  • CASA PROMESA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080919000070 NY Part A Provider - Skilled Nursing Facility 0648347500 Practice locations: Bronx, NY

Skilled nursing facility certification: CCN 335780

Legal name
PROMESA RESIDENTIAL HEALTH CARE FACILITY, INC.
Doing business as
CASA PROMESA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 17, 1995
Last certification
Dec 9, 2024
Beds
108
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 6, 1992 in NY
Enrollment address
308E 175TH St
Bronx, NY 10457-5804
Nursing home name
CASA PROMESA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Casa PromesaCCN 335780
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Mar 17, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10880.2 residents per day on average
Penalties (3 years)
1Fines totaling $8,281

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2115443Casa Promesa308 E 175TH Street, Bronx, NY 10457Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Promesa Residential Health Care Facility Inc2 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.

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Dennis Sepulveda Individual Corporate DirectorSecretary Jan 1, 2020
Cynthia Isales Individual Corporate DirectorBoard Member Jan 1, 2020
Vicky Gatell Individual Corporate DirectorSNF Administrator Sep 1, 2021
Operational/Managerial Control Sep 1, 2021
Adp of the SNF Sep 1, 2021
Acacia Network Inc Organization, Bronx, NY Non-profit Operational/Managerial Control May 21, 2009
Joel Socarras-Rosa Individual Corporate DirectorBoard Member Jan 1, 2020
David Collymore Individual Corporate DirectorSNF Medical Director Jul 1, 2019
Operational/Managerial Control Jul 1, 2019
Adp of the SNF Jul 1, 2019
Jose Rodriguez Individual Corporate DirectorClo Jul 1, 2019
Raul Russi Individual Corporate DirectorPresident May 21, 2009
Operational/Managerial Control May 21, 2009
Kalani Peterson Individual Operational/Managerial Control Jan 1, 2025
Alejandro Quintana-Velasquez Individual Operational/Managerial Control Jan 1, 2025
Frank Quiles Individual Corporate DirectorTreasurer Jan 1, 2020
Bright Akhere Individual Corporate Director Aug 11, 2025
Operational/Managerial Control Aug 1, 2025
Iris Ramirez Individual Corporate DirectorChair Apr 8, 2011

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

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": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1801833652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E 175TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575859",
            "telephone_number": "718-960-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 E 175TH STREET",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10457",
            "telephone_number": "347-649-3083",
            "fax_number": "347-649-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMESA RESIDENTIAL HEALTH CARE FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "GATELL",
        "authorized_official_first_name": "VICKY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "718-960-7568"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01547355",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CASA PROMESA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CASA PROMESA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.