Pridecare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0634L002 Issued in NY

Legal business name

PRIDECARE, INC.

Practice address

7 Skyline Dr Ste 225
Hawthorne, NY 10532-2164

Phone

(914) 579-2250

Fax

(914) 579-2255

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Mirra

Title

President

Phone

(484) 494-3121

Specialties & licenses 2

Addresses

Tax ID family

Pridecare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Pridecare, Inc.

  • Home Health Agency
  • New York, NY
  • NPI 1265711238
  NPD tax ID
• Pridecare, Inc.

  • Home Infusion Agency
  • Wayne, NJ
  • NPI 1376902197
  NPD tax ID

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1821210410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SKYLINE DR STE 225",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322164",
            "telephone_number": "914-579-2250",
            "fax_number": "914-579-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SKYLINE DR STE 225",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322164",
            "telephone_number": "914-579-2250",
            "fax_number": "914-579-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "MIRRA",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-494-3121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "0634L002",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Porcaro, MA
• Aldo Joseph Porco MD, M.D.
• Gracy Vinod Pothen
• Dawn Potocki
• Priya Shalini Prashad, MD
• Hunter Proscia
• Rachel Protter
• Carmelo Anthony Puccio, M.D.
• Anthony L Pucillo, MD
• Marialena Pulice

• Home Health Agency in Hawthorne, NY
• Providers in Hawthorne, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.