PROMENADE MIDDLETOWN LLC (NPI# 1770917668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770917668 |
| Entity Type | Organization |
| Organization Name | PROMENADE MIDDLETOWN LLC |
| Practice Address |
70 Fulton St Middletown NY 10940-5251 |
| Practice Telephone | 8453411888 |
| Practice Fax Number | 8453445577 |
| Mailing Telephone | 8453411888 |
| Mailing Fax Number | 8453445577 |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2013-08-27 |
| Authorized Official Name | MR. STEVEN LAUFER (CEO) |
| Authorized Official Telephone | 8453411888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 540-F-032 | NY | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PROMENADE MIDDLETOWN LLC | 582 Veterans Memorial Drive, Pearl River, Ny 10965 |
| Street Address |
70 FULTON ST |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-5251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255776142 | Promenade Senior Centers LLC | Clinic/Center | 70 Fulton St, Middletown, NY 10940-5251 | 2013-05-06 |
| 1023354594 | Promenade At Middletown LLC | Clinic/Center | 70 Fulton St, Middletown, NY 10940-5251 | 2013-01-02 |
| 1730397373 | Homemaker Service of Orange County | Nursing Home Administrator | 70 Fulton St, Middletown, NY 10940-5251 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396276184 | Crp Regal Pointe, LLC | Assisted Living Facility | 1800 Nj Highway 35 South, Middletown, NJ 07748 | 2017-03-23 |
| 1992112403 | Garden Manor Terrace, Inc. | Assisted Living Facility | 6898 Hamilton Middletown Rd, Middletown, OH 45044-7859 | 2014-07-16 |
| 1194069484 | The Eliot Management Group LLC | Assisted Living Facility | 12 John St, Middletown, NY 10940-4900 | 2012-11-27 |
| 1457607459 | C. Diederick Van Der Velde | Assisted Living Facility | 3000 Mcgee Ave, Middletown, OH 45044-4991 | 2012-07-27 |
| 1013213974 | Pram/middletown Te, LLC | Assisted Living Facility | 3851 Towne Blvd, Middletown, OH 45005-5595 | 2011-02-09 |
| 1003057738 | Close To Home II, LLC | Assisted Living Facility | 3712 Roosevelt Blvd, Middletown, OH 45044-6515 | 2009-03-09 |
| 1225275860 | Serenity Gardens Recuperation Center | Assisted Living Facility | 207 Ruth Dr, Middletown, DE 19709-9470 | 2009-01-20 |
| 1851414585 | Luther Ridge At Middletown, Inc | Assisted Living Facility | 628 Congdon St W, Middletown, CT 06457-7939 | 2007-04-09 |
| 1265586549 | Prime Care One, LLC | Assisted Living Facility | 620 State Route 35, Middletown, NJ 07748-4224 | 2007-01-23 |
| 1649212044 | Middlesex Health Services, Inc. | Assisted Living Facility | 1 Macdonough Pl, Middletown, CT 06457-3607 | 2006-06-11 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
Please comment or provide details below to improve the information on PROMENADE MIDDLETOWN LLC.
| 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.