St.Dominic'S Home in Blauvelt - Intermediate Care Facility, Intellectual Disabilities
St.Dominic'S Home - NPI 1174581037
St.Dominic'S Home is a Intermediate Care Facility, Intellectual Disabilities in Blauvelt, New York. St.Dominic'S Home practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for St.Dominic'S Home is 1174581037. The last update date is 2016-09-20.
St.Dominic'S Home's current location address is 500 Western Hwy, Blauvelt, New York. You can contact this provider via phone number 8453593400 and fax number 8453594253. The mailing address for St.Dominic'S Home is 500 Western Hwy, Blauvelt, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St.Dominic'S Home |
|---|---|
| Address | 500 Western Hwy, Blauvelt, New York |
| Phone Number | 8453593400 |
| Fax Number | 8453594253 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Kydon D Judith |
| Credentials | MED |
| Telephone Number | 8453593400 |
NPI Number Detail
| NPI Number | 1174581037 |
|---|---|
| Provider Enumeration Date | 2006-05-02 |
| Last Updated Date | 2016-09-20 |
Provider Mailing Address Detail
| Address | 500 Western Hwy |
|---|---|
| City | Blauvelt |
| State | New York (NY) |
| Post Code | 109132000 |
| Phone Number | 8453593400 |
| Fax Number | 8453594253 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 7159460 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2573797 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to St.Dominic'S Home by the Centers for Medicare & Medicaid Services?
The St.Dominic'S Home has been assigned the NPI (National Provider Identifier) 1174581037. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where St.Dominic'S Home's facilities are geographically located?
The facilities of St.Dominic'S Home are physically situated at the following location: 500 Western Hwy, Blauvelt, NY, 109132000.
What is the St.Dominic'S Home's specialty and taxonomy code?
The St.Dominic'S Home's specialty is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174581037 to St.Dominic'S Home?
The St.Dominic'S Home received its 1174581037 assignment from the Centers for Medicare & Medicaid Services on 2006-05-02.
As of what date were the details related to St.Dominic'S Home most recently updated or revised?
The information pertaining to St.Dominic'S Home, including its address, specialty, and other relevant details, was last updated or revised on 2016-09-20.
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