St.Dominic'S Home in Blauvelt - Intermediate Care Facility, Intellectual Disabilities
St.Dominic'S Home - NPI 1639208572
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 1639208572. 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 | CHIEF EXEC |
|---|---|
| Authorized Official Name | Kydon Judy |
| Credentials | M.ED |
| Telephone Number | 8453593400 |
NPI Number Detail
| NPI Number | 1639208572 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| 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 | 7159458 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2839545 | NY | -- |
Post Comment/ Review Below
What is the St.Dominic'S Home's unique identification number?
The St.Dominic'S Home has been assigned the NPI (National Provider Identifier) Number 1639208572 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where St.Dominic'S Home is physically located?
The St.Dominic'S Home is situated at the following address: 500 Western Hwy, Blauvelt, NY 109132000.
What is St.Dominic'S Home's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for St.Dominic'S Home is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that classifies this field of practice is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1639208572 to St.Dominic'S Home?
The St.Dominic'S Home received its 1639208572 assignment from the Centers for Medicare & Medicaid Services on 2007-03-05.
When was the information regarding St.Dominic'S Home most recently updated?
The details pertaining to the St.Dominic'S Home, including its address, specialty, and other relevant information, were last refreshed on 2016-09-20.