Active NPI
Shadow Housing Inc
Doing business as Assistance By Improv ll inc
- Community Health Registered Nurse
- Bronx, NY
National Provider Identifier
1861732893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 33335470
- 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, 2013
- Organization subpart
- Yes
- Parent organization
- ASSISTANCE BY IMPROV LL INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03165299 | Medicaid | NY | |
| 01841010 | Medicaid | NY | |
| 02382052 | Medicaid | NY | |
| 02197271 | Medicaid | NY |
Other names 1
- Assistance By Improv ll inc
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.