PROMENADE AT MIDDLETOWN LLC
NPI 1023354594
Clinic/Center - Adult Day Care in Middletown, NY

Active since January 02, 2013CLIA 33D2211189 · Waiver
70 FULTON ST, MIDDLETOWN, NY 10940(845) 341-1888(845) 344-5577 Get Directions Write a Review

NPPES record last updated: January 2, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Promenade At Middletown Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROMENADE AT MIDDLETOWN LLC (NPI 1023354594) is a healthcare organization registered as an adult day care in Middletown, New York and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Steven Laufer, President, as its authorized official.

NPPES Registry Identity

NPI1023354594
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NamePROMENADE AT MIDDLETOWN LLC
Location Address70 FULTON STMiddletown, NY 10940-5251
Mailing Address70 Fulton StMiddletown, NY 10940-5251 · (845) 341-1888 · Fax (845) 344-5577
Fax(845) 344-5577
Organization SubpartNo
Authorized OfficialSteven LauferPresident · (845) 341-1888
Enumeration DateJanuary 2, 2013
NPI 1023354594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
70 FULTON ST, Middletown, NY 10940

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2211189

Promenade At Middletown · Middletown, NY
Active · expires Mar 26, 2027
CLIA Number33D2211189
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 26, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Mickey P. Sharma
Laboratory Phone(845) 341-1888
Laboratory LocationPromenade At Middletown70 Fulton St, Middletown, NY 10940
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adult Day Care)
70 FULTON ST
MIDDLETOWN, NY 10940
Nursing Home Administrator
70 FULTON ST
MIDDLETOWN, NY 10940
Assisted Living Facility
70 FULTON ST
MIDDLETOWN, NY 10940

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Promenade At Middletown LLC's NPI number?

The NPI number for Promenade At Middletown LLC is 1023354594. It was assigned to this organization in the NPPES registry on January 2, 2013.

Where is Promenade At Middletown LLC located?

Promenade At Middletown LLC is located at 70 Fulton St, Middletown, NY 10940. The listed phone number is (845) 341-1888.

What is Promenade At Middletown LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Does Promenade At Middletown LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2211189) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Promenade At Middletown LLC was last updated on January 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.