DERVISH SOCIAL ADULT DAY CARE INC
NPI 1902592215
Prevention Professional in Bronx, NY

Active since April 11, 2023
2060 WALLACE AVE, BRONX, NY 10462(929) 293-4579(718) 421-0003 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Prevention Professional

About DERVISH SOCIAL ADULT DAY CARE INC

This page provides the complete NPI Profile along with additional information for Dervish Social Adult Day Care Inc, a provider established in Bronx, New York operating as a Prevention Professional. The healthcare provider is registered in the NPI registry with number 1902592215 assigned on April 2023. The practitioner's primary taxonomy code is 405300000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Dervish Social Adult Day Care Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jennifer Baden-ahmed Np (Excitive Director)

NPI
1902592215 Verify this NPI
Provider Name
DERVISH SOCIAL ADULT DAY CARE INC
Entity Type
Organization
Location Address
2060 WALLACE AVE BRONX, NY 10462
Location Phone
(929) 293-4579
Location Fax
(718) 421-0003
Mailing Address
614 RICHMOND RD STATEN ISLAND, NY 10304
Mailing Phone
(929) 293-4579
Mailing Fax
(718) 421-0003
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-11-2023
Last Update Date
04-11-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Prevention Professional

Taxonomy Code
405300000X
Type
Other Service Providers
Taxonomy Description
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER BADEN-AHMED NP

Authorized Official Title
EXCITIVE DIRECTOR
Authorized Official Phone
(347) 925-8914

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902592215, enumerated as an "organization" on April 11, 2023.

The provider is located at 2060 WALLACE AVE BRONX, NY 10462 and the phone number is (929) 293-4579.

Prevention Professional with taxonomy code 405300000X.