LA CASA DE SALUD INC. (NPI# 1548260870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548260870 |
| Entity Type | Organization |
| Organization Name | LA CASA DE SALUD INC. |
| Practice Address |
966 Prospect Ave Bronx NY 10459 |
| Mailing Address |
1776 Clay Ave Bronx NY 10457 |
| Practice Telephone | 7189917100 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2018-07-02 |
| Authorized Official Name | MR. MILTON DERIENZO (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3476493083 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
7000271R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02739320 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LA CASA DE SALUD INC. | 300 East 175th Street, Bronx, Ny 10457 |
| Street Address |
966 PROSPECT AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376177246 | Alicia Reynolds | Social Worker | 966 Prospect Ave, Bronx, NY 10459-3270 | 2020-02-28 |
| 1033620273 | Renee Rita Hartwell | Social Worker | 966 Prospect Ave, Bronx, NY 10459-3270 | 2017-10-16 |
| 1922526375 | Shari Bispham Jacob | Social Worker | 966 Prospect Ave, Bronx, NY 10459-3270 | 2017-09-06 |
| 1538535794 | Milagros Aponte | Counselor | 966 Prospect Ave, Bronx, NY 10459 | 2015-08-11 |
| 1033595814 | James Smith | Counselor | 966 Prospect Ave, Bronx, NY 10459 | 2015-08-04 |
| 1972989754 | Maria Santiago | Counselor | 966 Prospect Ave, Bronx, NY 10459 | 2015-08-04 |
| 1144606922 | Yvette Garcia | Counselor | 966 Prospect Ave, Bronx, NY 10459 | 2015-08-04 |
| 1518374552 | Maya Fukuda | Social Worker | 966 Prospect Ave, Bronx, NY 10459-3270 | 2014-07-22 |
| 1952654188 | Carline Lamour-occean | Nurse Practitioner | 966 Prospect Ave, Bronx, NY 10459-3270 | 2012-10-25 |
| 1538422944 | Cory Ruddy-ramirez | Family Medicine | 966 Prospect Ave, Bronx, NY 10459-3270 | 2012-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508458 | Sterling Smiles LLC | Dentist | 1022 E163rd St, Bronx, NY 10459 | 2020-11-02 |
| 1710496633 | Vitus C. Ezerioha | Licensed Practical Nurse | 870 Southern Blvd., Apt 1a, Bronx, NY 10459 | 2017-09-22 |
| 1790208403 | Jessica S Lee | Early Intervention Provider Agency | 985 Intervale Ave Apt. 2c, Bronx, NY 10459 | 2017-07-25 |
| 1669901070 | Ruthlyn Merrick | Registered Nurse | 1466 Louis Nine Blvd, Bronx, NY 10459 | 2017-06-08 |
| 1154865681 | John Wahl | Speech-Language Pathologist | 977 Fox St., Is 217, Bronx, NY 10459 | 2016-12-19 |
| 1801349675 | Aneesa Ible | Social Worker | 953 Southern Blvd, Suite 301, Odyssey House Inc., Bronx, NY 10459 | 2016-07-28 |
| 1457711277 | Agboade Ademiju | Registered Nurse | 900 Intervale Ave, Archcare, Bronx, Bronx, NY 10459 | 2016-03-07 |
| 1952760076 | Apollo Radio Dispatcher | Taxi | 801 Freeman Street, Bronx, NY 10459 | 2016-02-17 |
| 1730547522 | Foxhurst Medical of New York LLC | Surgery | 947 Southern Blvd Ste B, Bronx, NY 10459 | 2016-02-08 |
| 1063892388 | Vismar Radio Dispatch Inc. | Taxi | 1040-52 Freeman St, Bronx, NY 10459 | 2015-06-02 |
| Find all providers in zip 10459 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1104374685 | Morris Heights Health Center, Inc. | Clinic/Center | 825 E 233rd St, Bronx, NY 10466-3203 | 2016-09-14 |
| 1790154466 | Damian Family Care Centers, Inc. | Clinic/Center | 2604 3rd Avenue, Bronx, NY 10454 | 2015-09-23 |
| 1659754885 | Union Community Health Center, Inc. | Clinic/Center | 2101 Quarry Road, Bronx, NY 10457-2594 | 2015-07-07 |
| 1740679695 | Care for The Homeless | Clinic/Center | 800 Barretto St, Bronx, NY 10474-5304 | 2015-01-15 |
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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.