Organization Active NPI

Shadow Housing Inc

Doing business as Assistance By Improv ll inc

  • Community Health Registered Nurse
  • Bronx, NY
National Provider Identifier
1861732893
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
33335470 Issued in NY
Legal business name
SHADOW HOUSING INC
Doing business as
Assistance By Improv ll inc
Practice address
3560 Olinville Ave Apt 1F
2118 Willliambridge Road
Bronx, NY 10467-5533
Phone
(718) 618-7337
Fax
(646) 401-7420
NPI assigned
Feb 28, 2013
Last updated
Feb 28, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
ASSISTANCE BY IMPROV LL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Mr. Joe Wright
Title
Ceo
Phone
(718) 618-7337

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 33335470 NY Primary
Midwife 176B00000X 3333470 NY

Addresses

Primary practice location

3560 Olinville Ave Apt 1F
2118 Willliambridge Road
Bronx, NY 10467-5533

Mailing address

3560 Olinville Ave Apt 1F
2118 Willliambridge Road
Bronx, NY 10467-5533
Phone (718) 618-7337

Other identifiers 4

IdentifierTypeStateIssuer
03165299MedicaidNY
01841010MedicaidNY
02382052MedicaidNY
02197271MedicaidNY

Other names 1

  • Assistance By Improv ll inc Doing business as

National Provider Directory

National Provider Directory
Part of
Assistance by Improv II Inc

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1861732893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 OLINVILLE AVE APT 1F",
            "address_2": "2118 WILLLIAMBRIDGE ROAD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104675533",
            "telephone_number": "718-618-7337",
            "fax_number": "646-401-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 OLINVILLE AVE APT 1F",
            "address_2": "2118 WILLLIAMBRIDGE ROAD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104675533",
            "telephone_number": "718-618-7337",
            "fax_number": "646-401-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADOW HOUSING INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSISTANCE BY IMPROV LL INC",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-618-7337",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "33335470",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "3333470",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03165299",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01841010",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02382052",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02197271",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assistance By Improv ll inc",
            "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 Feb 28, 2013; 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.