St.Dominic'S Home in Blauvelt - Intermediate Care Facility, Intellectual Disabilities
St.Dominic'S Home - NPI 1720117666
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 1720117666. 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 | 1720117666 |
|---|---|
| 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 | 7159459 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2839536 | NY | -- |
Post Comment/ Review Below
What is the unique identification code assigned to St.Dominic'S Home by the Centers for Medicare & Medicaid Services?
The St.Dominic'S Home has been issued the NPI (National Provider Identifier) 1720117666. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where St.Dominic'S Home is 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 classification code?
The St.Dominic'S Home's area of specialization is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 315P00000X.
On what date was the 1720117666 assigned to St.Dominic'S Home?
The St.Dominic'S Home was issued its 1720117666 on 2007-03-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
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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