PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS, INC (NPI# 1942486717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942486717 |
| Entity Type | Organization |
| Organization Name | PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS, INC |
| Other Organization Name | PROMESA INC |
| Practice Address |
254 Virginia St Buffalo NY 14201 |
| Mailing Address |
1776 Clay Ave Bronx NY 10457-7239 |
| Practice Telephone | 7167684040 |
| Mailing Telephone | 7182991100 |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2019-12-18 |
| Authorized Official Name | LYMARIS ALBORS (COO AND EVP) |
| Authorized Official Telephone | 3476493295 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
180711848 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03012379 | 05 |
| Other Name | Type Code |
|---|---|
| Promesa Inc | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 311 E 175th St, Bronx, NY 104575848 | 7187641556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407034614 | Puerto Rican Organization To Motivate Enlighten and Serve Addicts, Inc | Clinic/Center | 1776 Clay Ave, Bronx, NY 10457 | 2008-02-11 |
| 1295911063 | Puerto Rican Organization To Motivate Enlighten and Serve Addicts, Inc | Clinic/Center | 1776 Clay Ave, Bronx, NY 10457 | 2008-01-11 |
| Street Address |
254 VIRGINIA ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487294963 | Jon Jude Tasca | Counselor | 254 Virginia St, Buffalo, NY 14201-1938 | 2020-01-13 |
| 1710415872 | Lori A Brinda | Registered Nurse | 254 Virginia St, Buffalo, NY 14201-1938 | 2017-06-01 |
| 1780119883 | Sandra Sheppard | Counselor | 254 Virginia St, Buffalo, NY 14201-1938 | 2017-04-26 |
| 1134505167 | Jason Worthington | Counselor | 254 Virginia St, Buffalo, NY 14201-1938 | 2015-07-31 |
| 1457737496 | Emilio Rodriguez | Counselor | 254 Virginia St, Buffalo, NY 14201-1938 | 2015-07-31 |
| 1689050627 | Elizabeth Sarabia | Counselor | 254 Virginia St, Buffalo, NY 14201-1938 | 2015-07-31 |
| 1447636485 | Virginia Mcintyre | Counselor | 254 Virginia St, Buffalo, NY 14201-1938 | 2015-07-31 |
| 1144606187 | Deborah Morrison | Registered Nurse | 254 Virginia St, Buffalo, NY 14201-1938 | 2015-07-31 |
| 1225436520 | Buffalo Health Homes | Home Health | 254 Virginia St, Buffalo, NY 14201 | 2014-12-18 |
| 1124432489 | Hispanos Unidos De Buffalo | Clinic/Center | 254 Virginia St, Buffalo, NY 14201-1938 | 2014-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619592201 | Linda Berkoh-asamoah | Nurse Practitioner | Evergreen Health Services, 206 S. Elmwood Avenue, Buffalo, NY 14201 | 2020-06-10 |
| 1790223303 | Walaa Kadhum | Social Worker | 340 Niagara Street, Buffalo, NY 14201 | 2017-02-02 |
| 1285171025 | Santina Grace Phillips | Counselor | 10 Symphony Circle, Buffalo, NY 14201 | 2017-01-31 |
| 1073976759 | Jana Riesterer | Social Worker | 254 Virginia Street, Buffalo, NY 14201 | 2016-03-31 |
| 1710309414 | Chs N.y. Medical P.C. | General Practice | 10 Sheridan Rd, Buffalo, NY 14201 | 2014-01-15 |
| 1467722314 | Kristin Nicole Halter | Counselor | 591 Niagara Street, Buffalo, NY 14201 | 2012-01-10 |
| 1538446844 | Robert Martin Kennuth | Specialist/Technologist | 329 Porter Ave, D'youville College, Buffalo, NY 14201 | 2011-11-15 |
| 1902115033 | James W Burcher | Registered Nurse | 430 Niagara, Buffalo, NY 14201 | 2010-10-07 |
| 1336468115 | Jane Leslie Burgio | Speech-Language Pathologist | 315 Carolina St, Buffalo, NY 14201 | 2010-05-19 |
| 1376787044 | Jessica Christina | Licensed Practical Nurse | 85 Johnson Park, Buffalo, NY 14201 | 2009-04-26 |
| Find all providers in zip 14201 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1760831119 | Vasuli Inc | Clinic/Center | 325 W 45th St, 812, New York, NY 10036-4191 | 2016-06-07 |
| 1093187254 | Samaritan Daytop Village, Inc. | Clinic/Center | 2778 Third Avenue, Bronx, NY 10455 | 2015-10-28 |
| 1588066716 | Care Counseling Center, LLC | Clinic/Center | 214 W 116th St, New York, NY 10026-2494 | 2014-09-18 |
| 1831507573 | Nathaniel Chambers | Clinic/Center | 801 Saint Anns Ave, Bronx, NY 10456-7648 | 2014-07-25 |
| 1508272238 | Trinity of Chemung County | Clinic/Center | 150 Lake St Ste 2, Elmira, NY 14901-3401 | 2014-07-02 |
| 1093074825 | Community Counseling & Mediation | Clinic/Center | 367 E 7th St, Brooklyn, NY 11218-4105 | 2012-05-14 |
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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.