Welllife Network Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

WELLLIFE NETWORK INC

Practice address

4220 149TH St
Flushing, NY 11355-1012

Phone

(718) 460-3008

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Lori Alameda

Title

Senior Vice President - Cfo

Phone

(347) 542-5616

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Promoting Specialized Care & Health Doing business as

Tax ID family

Promoting Specialized Care Health25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

• PSCH, Inc

  • Clinic/Center
  • South Richmond Hill, NY
  • NPI 1841354131
  NPD tax ID
• PSCH, Inc.

  • Community/Behavioral Health Agency
  • Astoria, NY
  • NPI 1124351853
  NPD tax ID
• PSCH, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Brooklyn, NY
  • NPI 1417011776
  NPD tax ID
• PSCH, Inc.

  • Community/Behavioral Health Agency
  • College Point, NY
  • NPI 1609029909
  NPD tax ID
• PSCH. Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Richmond Hill, NY
  • NPI 1265596829
  NPD tax ID
• PSCH. Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Brooklyn, NY
  • NPI 1316001837
  NPD tax ID
• PSCH. Inc

  • Clinic/Center
  • Astoria, NY
  • NPI 1417011974
  NPD tax ID
• PSCH. Inc

  • Case Management Agency
  • Jamaica, NY
  • NPI 1437313822
  NPD tax ID
• PSCH. Inc

  • Clinic/Center
  • Flushing, NY
  • NPI 1487718771
  NPD tax ID
• PSCH. Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Flushing, NY
  • NPI 1548324171
  NPD tax ID
• PSCH. Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Springfield Gardens, NY
  • NPI 1578627170
  NPD tax ID
• PSCH. Inc

  • Mental Illness Intermediate Care Facility
  • Brooklyn, NY
  • NPI 1659505824
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Charles Edelstein, DPM

  • Podiatrist
  • Bronx, NY
  • NPI 1376546853
  NPD (past)
• Izabela Florczyk

  • Registered Nurse
  • Flushing, NY
  • NPI 1255982633
  NPD (past)
• Nicole Holder, REGISTERED NURSE

  • General Practice Registered Nurse
  • Flushing, NY
  • NPI 1073004628
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1881749075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142-02 20TH AVENUE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113519712",
            "telephone_number": "718-559-0516",
            "fax_number": "718-762-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 149TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551012",
            "telephone_number": "718-460-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLLIFE NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "ALAMEDA",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT - CFO",
        "authorized_official_telephone_number": "347-542-5616",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01428082",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promoting Specialized Care & Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Promoting Specialized Care & Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual Disabilities Intermediate Care Facility in Flushing, NY
• Providers in Flushing, NY by specialty
• Intellectual Disabilities Intermediate Care Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.