Active NPI
Promesa Residential Health Care Facility, Inc.
- Skilled Nursing Facility
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01547355 | Medicaid | NY |
Other names 1
- CASA PROMESA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Promesa
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Mar 17, 1995
- Medicare certification status
- Active
- Certified beds
- 108
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2115443 | Casa Promesa | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Promesa Residential Health Care Facility Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Bronx, NY
- NPI 1043379332
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Dennis Sepulveda | Corporate Director | Jan 1, 2020 | |
| Cynthia Isales | Corporate Director | Jan 1, 2020 | |
| Vicky Gatell | Corporate Director | Sep 1, 2021 | |
| Operational/Managerial Control | Sep 1, 2021 | ||
| Adp of the SNF | Sep 1, 2021 | ||
| Acacia Network Inc | Operational/Managerial Control | May 21, 2009 | |
| Joel Socarras-Rosa | Corporate Director | Jan 1, 2020 | |
| David Collymore | Corporate Director | Jul 1, 2019 | |
| Operational/Managerial Control | Jul 1, 2019 | ||
| Adp of the SNF | Jul 1, 2019 | ||
| Jose Rodriguez | Corporate Director | Jul 1, 2019 | |
| Raul Russi | Corporate Director | May 21, 2009 | |
| Operational/Managerial Control | May 21, 2009 | ||
| Kalani Peterson | Operational/Managerial Control | Jan 1, 2025 | |
| Alejandro Quintana-Velasquez | Operational/Managerial Control | Jan 1, 2025 | |
| Frank Quiles | Corporate Director | Jan 1, 2020 | |
| Bright Akhere | Corporate Director | Aug 11, 2025 | |
| Operational/Managerial Control | Aug 1, 2025 | ||
| Iris Ramirez | Corporate Director | 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.
-
- Pediatrics Physician
- Bronx, NY
- NPI 1023000353
Adp of the SNF, Corporate Director, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Skilled Nursing Facility
- Bronx, NY
- NPI 1295931848
-
- Student in an Organized Health Care Education/Training Program
- Baltimore, MD
- NPI 1225728355
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.