ICL BRONX PARK EAST (NPI# 1679803555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679803555 |
| Entity Type | Organization |
| Organization Name | ICL BRONX PARK EAST |
| Practice Address |
3028 Bronx Park E Bronx NY 10467-6704 |
| Practice Telephone | 7189945938 |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2009-12-28 |
| Authorized Official Name | DEWEY HOWARD (CFO) |
| Authorized Official Telephone | 2123853030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01410099 | 05 |
| Street Address |
3028 BRONX PARK E |
| City | BRONX |
| State | NY |
| Zip Code | 10467-6704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851884787 | Next Level of Independence, Inc. | Day Training, Developmentally Disabled Services | 3364 Wilson Ave, Bronx, NY 10469-2968 | 2018-06-14 |
| 1982046579 | Johanna Rodriguez | Day Training, Developmentally Disabled Services | 1791 Walton Ave, 3b, Bronx, NY 10453-8138 | 2013-07-23 |
| 1912237892 | Icl East 225th Street | Day Training, Developmentally Disabled Services | 857 E 225th St, Bronx, NY 10466-4405 | 2009-12-28 |
| 1023266277 | Benita Paredes | Day Training, Developmentally Disabled Services | 3130 Irwin Ave Apt 7d, Bronx, NY 10463-3828 | 2008-08-29 |
| 1629231774 | Parris Marie Macedon | Day Training, Developmentally Disabled Services | 1075 E 179th St, #4h, Bronx, NY 10460-2325 | 2008-07-09 |
| 1225203490 | Vera Jones | Day Training, Developmentally Disabled Services | 472 Commonwealth Ave, Bronx, NY 10473-3603 | 2008-04-28 |
| 1316121213 | Unique Life, Inc. | Day Training, Developmentally Disabled Services | 1994 Hughes Ave, Bronx, NY 10457-4902 | 2007-12-27 |
| 1083811681 | Gateway Counseling Center, Inc. | Day Training, Developmentally Disabled Services | 4500 Furman Ave, Bronx, NY 10470-1602 | 2007-06-28 |
| 1700919933 | Icl East 170th Street (icf) | Day Training, Developmentally Disabled Services | 650 E 170th St, Bronx, NY 10456-2327 | 2007-03-14 |
| 1366815482 | The Jewish Board | Day Training, Developmentally Disabled Services | 3600 Jerome Ave, Bronx, NY 10467-1052 | 2015-11-11 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.