WELLLIFE NETWORK INC NPI 1336203983

NPI Information

NPI: 1336203983
Provider Name: WELLLIFE NETWORK INC

Doing Business As: PROMOTING SPECIALIZED CARE & HEALTH

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
25802 CRAFT AVE
ROSEDALE, NY
ZIP 11422
Phone: (718) 527-8800
Get Directions

WELLLIFE NETWORK INC is a residential treatment facility, intellectual and/or developmental disabilities in Rosedale, NY. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. WELLLIFE NETWORK INC NPI is 1336203983. The provider is registered as an organization entity type.
The provider Is Doing Business As Promoting Specialized Care & Health.

The provider's business location address is:

25802 CRAFT AVE
ROSEDALE, NY
ZIP 11422-029
Phone: (718) 527-8800
Fax: (718) 949-6065

The provider's authorized official is Lori Alameda .
The authorized official title is Vp Fincance Clinical Services and has the following contact phone number (347) 542-5616.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 12/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		00696960	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00696960	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »