Active NPI
Iris House, Inc.
- Case Management Agency
- New York, NY
National Provider Identifier
1932323748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- IRIS HOUSE, INC.
- Practice address
- 2348 Adam Clayton Powell Jr Blvd
New York, NY 10030-2301 - Phone
- (646) 548-0100
- Fax
- (646) 548-0200
- NPI assigned
- Apr 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lawrence Carter
- Title
- Comptroller
- Phone
- (646) 548-0100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
2348 Adam Clayton Powell Jr Blvd
New York, NY 10030-2301
Mailing address
2348 Adam Clayton Powell Jr Blvd
New York, NY 10030-2301
Phone (646) 548-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01881438 | Medicaid | NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1062506 | Iris House | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
2348 Adam Clayton Powell Jr Blvd
New York, NY 10030
Phone (646) 548-0100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441152000000",
"number": "1932323748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2348 ADAM CLAYTON POWELL JR BLVD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100302301",
"telephone_number": "646-548-0100",
"fax_number": "646-548-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2348 ADAM CLAYTON POWELL JR BLVD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100302301",
"telephone_number": "646-548-0100",
"fax_number": "646-548-0200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRIS HOUSE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-12",
"last_updated": "2015-09-02",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_title_or_position": "COMPTROLLER",
"authorized_official_telephone_number": "646-548-0100",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01881438",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.