Active NPI
East Harlem Council for Community Improvement
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- New York, NY
National Provider Identifier
1962544916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 8222442
- Legal business name
- EAST HARLEM COUNCIL FOR COMMUNITY IMPROVEMENT
- Practice address
- 348 E 105 St
New York, NY 10029 - Phone
- (212) 410-7707
- NPI assigned
- Feb 13, 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
- Mr. Tomas Del Rio
- Title
- Chief Financial Officer
- Phone
- (347) 649-3083
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 8222443 | NY | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 8222441 | NY | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 8222442 | NY | Primary |
Addresses
Primary practice location
348 E 105 St
New York, NY 10029
Mailing address
413 E 120TH St
Fiscal at Clay Ave
New York, NY 10035-3602
Phone (212) 410-7707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02256513 | Medicaid | NY |
Other names 1
- EHCCI
National Provider Directory
National Provider Directory- Tax ID family
- East Harlem Council for Community Improvement
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Respite Care
- New York, NY
- NPI 1700915493
-
- Case Management Agency
- New York, NY
- NPI 1700915535
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- New York, NY
- NPI 1720120140
Locations
348 E 105 St
New York, NY 10029
Phone (212) 410-7707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235952000000",
"number": "1962544916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 E 120TH ST",
"address_2": "FISCAL AT CLAY AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100353602",
"telephone_number": "212-410-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 E 105 ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "212-410-7707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST HARLEM COUNCIL FOR COMMUNITY IMPROVEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2009-03-02",
"status": "A",
"authorized_official_last_name": "DEL RIO",
"authorized_official_first_name": "TOMAS",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "347-649-3083",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NY",
"license": "8222443",
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NY",
"license": "8222441",
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NY",
"license": "8222442",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02256513",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "EHCCI",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New York, NY
- East Harlem Apothecary Inc
- East Harlem Apothecary Inc
- East Harlem Council for Community Improvement
- East Harlem Council for Community Improvement
- East Harlem Council for Community Improvement
- East Harlem Council for Human Services
- East Harlem Council for Human Services Inc
- East Harlem Council for Human Services Inc
- East Harlem Dental
- East Harlem Dental Associates, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.