Organization Active NPI

The Dennelisse Corporation

Doing business as Dennelisse Lhcsa

  • Community/Behavioral Health Agency
  • Bronx, NY
National Provider Identifier
1861143521
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE DENNELISSE CORPORATION
Doing business as
Dennelisse Lhcsa
Practice address
460 Willis Ave FL 2
Bronx, NY 10455-4013
Phone
(212) 265-8320
Fax
(646) 878-0355
NPI assigned
Jan 14, 2022
Last updated
Jan 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Authorized official

Name
Mr. Geoffrey A Anaele
Title
Cfo
Phone
(212) 265-8320

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

460 Willis Ave FL 2
Bronx, NY 10455-4013

Mailing address

460 Willis Ave FL 2
Bronx, NY 10455-4013
Phone (212) 265-8320

Other names 1

  • DENNELISSE LHCSA Doing business as

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL Bronx Health Information Exchange (HIE)
CONNECT URL Bronx Direct
Other URL Bronx Other

National Provider Directory

National Provider Directory
Tax ID family
Dennelisse Lhcsa3 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.

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1861143521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 WILLIS AVE FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554013",
            "telephone_number": "212-265-8320",
            "fax_number": "646-878-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 WILLIS AVE FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554013",
            "telephone_number": "212-265-8320",
            "fax_number": "646-878-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENNELISSE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "ANAELE",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "212-265-8320",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bronx",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "460 Willis Ave Fl 2",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104554013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bronx",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "460 Willis Ave Fl 2",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104554013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Bronx",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Bronx",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Bronx",
            "address_1": "460 Willis Ave Fl 2",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104554013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "DENNELISSE LHCSA",
            "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 Jan 14, 2022; 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.