UPPER ROOM AIDS MINISTRY INC. ADULT DAY HEALTH CARE CENTER. NPI 1417986340

NPI Information

NPI: 1417986340
Provider Name: UPPER ROOM AIDS MINISTRY, INC. ADULT DAY HEALTH CARE CENTER.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
169 W 133RD ST
NEW YORK, NY
ZIP 10030
Phone: (646) 762-4950
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UPPER ROOM AIDS MINISTRY, INC. ADULT DAY HEALTH CARE CENTER. is a clinic center in New York, NY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). UPPER ROOM AIDS MINISTRY, INC. ADULT DAY HEALTH CARE CENTER. NPI is 1417986340. The provider is registered as an organization entity type.

The provider's business location address is:

169 W 133RD ST
NEW YORK, NY
ZIP 10030-301
Phone: (646) 762-4950
Fax: (646) 762-4953

The provider's authorized official is Tamisha Mcpherson .
The authorized official title is Executive Director and has the following contact phone number (212) 803-2850.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 9/5/2019.

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	Primary
1	261QA0600X	Clinic/Center	Adult Day Care	No
2	261QF0050X	Clinic/Center	Family Planning, Non-Surgical	No
3	1223G0001X	Dentist	General Practice	No
4	2084P0800X	Psychiatry & Neurology	Psychiatry	No
5	251S00000X	Community/Behavioral Health		No
6	103TC0700X	Psychologist	Clinical	No
7	104100000X	Social Worker		No
8	1041C0700X	Social Worker	Clinical	No
9	261QP1100X	Clinic/Center	Podiatric	No
10	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	No
11	261Q00000X	Clinic/Center		Yes
12	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No

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	01741726	MEDICAID	NEW YORK
2	33/1040 AND 33/1041	OTHER	NEW YORK	MEDICARE PART A
3	A100140369	OTHER	NEW YORK	MEDICARE PART B

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

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