Upper Room Aids Ministry, Inc. Adult Day Health Care Center. | |
169 W 133rd St New York NY 10030-3301 | |
(646) 762-4950 | |
(646) 762-4953 |
Full Name | Upper Room Aids Ministry, Inc. Adult Day Health Care Center. |
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Speciality | Clinic/Center |
Location | 169 W 133rd St, New York, New York |
Authorized Official Name and Position | Tamisha Mcpherson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2128032850 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Upper Room Aids Ministry, Inc. Adult Day Health Care Center. 306 Lenox Avenue 3rd Floor New York NY 10027-4920 Ph: (212) 803-2850 | Upper Room Aids Ministry, Inc. Adult Day Health Care Center. 169 W 133rd St New York NY 10030-3301 Ph: (646) 762-4950 |
NPI Number | 1417986340 |
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Provider Enumeration Date | 07/02/2006 |
Last Update Date | 09/05/2019 |
Medicare PECOS PAC ID | 4981770302 |
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Medicare Enrollment ID | O20100716000164 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417986340 | NPI | - | NPPES |
A100140369 | Other | NY | MEDICARE PART B |
01741726 | Medicaid | NY | |
33/1040 AND 33/1041 | Other | NY | MEDICARE PART A |
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