The Tommy Experience

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

THE TOMMY EXPERIENCE

Practice address

27 E Merrick Rd
2ND Floor
Valley Stream, NY 11580-5814

Phone

(917) 488-3898

NPI assigned

Nov 18, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Mickens

Title

President Ceo

Phone

(917) 488-3898

Specialties & licenses 1

Addresses

Other names 1

• Tommy House Social Day Doing business as

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1972977635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 E MERRICK RD",
            "address_2": "2ND FLOOR",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805814",
            "telephone_number": "917-488-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 E MERRICK RD",
            "address_2": "2ND FLOOR",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805814",
            "telephone_number": "917-488-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TOMMY EXPERIENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "MICKENS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "917-488-3898",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tommy House Social Day",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon Terrelonge, RN
• Alex Thakor, PT
• Sharon Tham
• The House of Hope
• The Kings County Hospital Center
• Marie Maude Thelisma, LPN
• Lesnide Themistocle, RN
• Therahealth Services, LLC
• Allison Thomas
• Aulrica Thomas

• Adult Day Care Clinic/Center in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Adult Day Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.