Organization Active NPI

Tremont Community Council Home Attendant Program, Inc

  • Nursing Care Agency
  • Bronx, NY
National Provider Identifier
1811074362
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
9626L001 Issued in NY
Legal business name
TREMONT COMMUNITY COUNCIL HOME ATTENDANT PROGRAM, INC
Practice address
1200 Waters PL
Suite 106
Bronx, NY 10461-2728
Phone
(718) 239-0608
Fax
(718) 239-1323
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. O'Dell Holland
Title
Program Director
Phone
(718) 239-0608

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 9626L001 NY
Nursing Care Agency 251J00000X 9626L001 NY Primary

Addresses

Primary practice location

1200 Waters PL
Suite 106
Bronx, NY 10461-2728

Mailing address

1200 Waters PL
Suite 106
Bronx, NY 10461-2728
Phone (718) 239-0608

Other identifiers 1

IdentifierTypeStateIssuer
00926307MedicaidNY

National Provider Directory

National Provider Directory

Locations

1200 Waters Pl
Ste 106
Bronx, NY 10461
Phone (800) 975-5109

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1811074362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WATERS PL",
            "address_2": "SUITE 106",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612728",
            "telephone_number": "718-239-0608",
            "fax_number": "718-239-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WATERS PL",
            "address_2": "SUITE 106",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612728",
            "telephone_number": "718-239-0608",
            "fax_number": "718-239-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREMONT COMMUNITY COUNCIL HOME ATTENDANT PROGRAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "O'DELL",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "718-239-0608",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "9626L001",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "9626L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00926307",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 11, 2025; 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.