PROMESA ADULT DAY HEALTH CARE – NPI #1043379332
Clinic/Center

PROMESA ADULT DAY HEALTH CARE is an AHC clinic located in BRONX, NY. NPPES has assigned the NPI number 1043379332 to PROMESA ADULT DAY HEALTH CARE on December 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

The NPI profile was previously updated about 8 years ago on Jul 02, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROMESA ADULT DAY HEALTH CARE below.

NPI Profile for
PROMESA ADULT DAY HEALTH CARE

NPI Number
1043379332
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROMESA ADULT DAY HEALTH CARE
Primary location
915 WESTCHESTER AVENUE
BRONX, NY 10457
Phone: (347) 649-3083 Fax: (347) 649-3090
Mailing address
308 EAST 175TH STREET
BRONX, NY 10457
Phone: (347) 649-3083 Fax: (347) 649-3090
Organization Subpart
Yes - PROMESA ADULT DAY HEALTH CARE is subpart of another organization.
Authorized Official
MILTON DERIENZO
CHIEF FINANCIAL OFFICIER
Phone: (347) 649-3083
Updated
Identifiers

Identifiers for PROMESA ADULT DAY HEALTH CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY02357688
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.