Active NPI
Tremont Community Council Home Attendant Program, Inc
- Nursing Care Agency
- Bronx, NY
National Provider Identifier
1811074362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 9626L001
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00926307 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.