IBERO AMERICAN ACTION LEAGUE, INC. (NPI# 1902344575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902344575 |
| Entity Type | Organization |
| Organization Name | IBERO AMERICAN ACTION LEAGUE, INC. |
| Practice Address |
817 E Main St Rochester NY 14605-2722 |
| Practice Telephone | 5852568900 |
| Practice Fax Number | 5854420683 |
| Mailing Telephone | 5852568900 |
| Mailing Fax Number | 5854420683 |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | MRS. ANGELICA PEREZ-DELGADO (PRESIDENT & CEO) |
| Authorized Official Telephone | 5852568900 |
| Authorized Official Credential | CASAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 161440297 | 05 |
| Street Address |
817 E MAIN ST |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14605-2722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841823986 | Carmen Delia Rosa-rivera | Case Manager/Care Coordinator | 817 E Main St, Rochester, NY 14605-2722 | 2020-02-18 |
| 1598396384 | Grisell Marin | Counselor | 817 E Main St, Rochester, NY 14605-2722 | 2020-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467090761 | Community Medical Services, PC | Family Medicine | Community Medical Services, PC, 39 Delevan Street, Rochester, NY 14605 | 2019-12-17 |
| 1578090874 | Saronna Asaunte ' Wilson | Nurse's Aide | 127 First Street Apt. 003, Rochester, NY 14605 | 2017-05-17 |
| 1215296975 | Aletha Ward Bouie | Licensed Practical Nurse | 120 Fifth Street, Rochester, NY 14605 | 2012-05-15 |
| 1598030165 | Batten for You | Home Health | 8 Vetter St., Rochester, NY 14605 | 2012-03-15 |
| 1063781219 | Andrea Silvana Escos | Physical Therapist | 173 Martin Street, Rochester, NY 14605 | 2011-12-16 |
| 1740589571 | Tammy J Beller | Speech-Language Pathologist | 690 St Paul Street Rm 321, Rochester Preschool Parent Program, Rochester, NY 14605 | 2011-03-18 |
| 1942507074 | Natalie Banks Hickman | Registered Nurse | Baden Street Settlement of Rochester, 585 Joseph Avenue, Rochester, NY 14605 | 2011-02-25 |
| 1013226489 | Robin Lynn Hill | Registered Nurse | 62 Sixth St, Rochester, NY 14605 | 2010-10-01 |
| 1154651891 | Taunya Llvertrice Johnson | Registered Nurse | 446 Alexander St, Rochester, NY 14605 | 2009-12-31 |
| 1154515799 | Gloria Jean Keitt I | Licensed Practical Nurse | 14 Weeger Street, Rochester, NY 14605 | 2007-08-28 |
| Find all providers in zip 14605 | ||||
| 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 |
|---|---|---|---|---|
| 1164061628 | Ibero American Action Lueage, Inc. | Day Training, Developmentally Disabled Services | 817 East Main Street, Same, Rochester, NY 14605-5144 | 2020-01-02 |
| 1467845396 | Adaptive Fitness, Inc. | Day Training, Developmentally Disabled Services | 523 E University Dr, Unit 906, Rochester, MI 48307-2174 | 2015-03-17 |
| 1023407939 | Communicare Michigan LLC | Day Training, Developmentally Disabled Services | 426 W University Dr, Rochester, MI 48307-1938 | 2015-01-15 |
| 1841534682 | Family First New York, Inc. | Day Training, Developmentally Disabled Services | 111 N Chestnut St, Rochester, NY 14604-1441 | 2012-11-17 |
| 1366611196 | Ability Building Center Inc | Day Training, Developmentally Disabled Services | 1911 14th St Nw, Rochester, MN 55901-0756 | 2008-02-26 |
| 1093983041 | Ubiquity Inc | Day Training, Developmentally Disabled Services | 1119 Joseph Ave, Rochester, NY 14621-3415 | 2008-02-12 |
| 1952504417 | Hickok Center for Brain Injury, Inc. | Day Training, Developmentally Disabled Services | 114 S Union St, Rochester, NY 14607-1831 | 2007-06-11 |
| 1316088982 | Berkshire Farm Center & Services for Youth | Day Training, Developmentally Disabled Services | 25 Franklin St Ste 1059, Rochester, NY 14604-1009 | 2007-02-08 |
| 1942275821 | United Cerebral Palsy Association of The Rochester Area, Inc. | Day Training, Developmentally Disabled Services | 3399 Winton Rd S, Rochester, NY 14623-3057 | 2006-02-22 |
| 1255643961 | School of The Holy Childhood | Day Training, Developmentally Disabled Services | 100 Groton Pkwy, Rochester, NY 14623-4540 | 2010-07-10 |
| Find all providers in ROCHESTER | ||||
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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.