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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: August 16, 2026.

About Dervish Social Adult Day Care Inc NPPES

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

DERVISH SOCIAL ADULT DAY CARE INC (NPI 1902592215) is a healthcare organization registered as a prevention professional in Bronx, New York and active in the NPI registry since April 2023. The organization lists Jennifer Baden-ahmed, Excitive Director, as its authorized official.

NPPES Registry Identity

NPI1902592215
Entity TypeOrganization
Primary Taxonomy405300000X
Legal Business NameDERVISH SOCIAL ADULT DAY CARE INC
Location Address2060 WALLACE AVEBronx, NY 10462-3006
Mailing Address614 Richmond RdStaten Island, NY 10304-2410 · (929) 293-4579 · Fax (718) 421-0003
Phone(929) 293-4579
Fax(718) 421-0003
Organization SubpartNo
Authorized OfficialJennifer Baden-ahmedExcitive Director · (347) 925-8914
Enumeration DateApril 11, 2023
NPPES CertifiedApril 11, 2023
✔ NPI 1902592215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPrevention ProfessionalOther Service Providers
Taxonomy Code405300000X
Definition
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.
2060 WALLACE AVE, Bronx, NY 10462
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Dervish Social Adult Day Care Inc's NPI number?

The NPI number for Dervish Social Adult Day Care Inc is 1902592215. It was assigned to this organization in the NPPES registry on April 11, 2023.

Where is Dervish Social Adult Day Care Inc located?

Dervish Social Adult Day Care Inc is located at 2060 Wallace Ave, Bronx, NY 10462. The listed phone number is (929) 293-4579.

What is Dervish Social Adult Day Care Inc's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

When was this NPI record last updated?

The NPPES record for Dervish Social Adult Day Care Inc was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.