St. Theresa'S Residence in Mt Vernon - Intermediate Care Facility, Intellectual Disabilities
St. Theresa'S Residence - NPI 1275734030
St. Theresa'S Residence is a Intermediate Care Facility, Intellectual Disabilities in Mt Vernon, New York. St. Theresa'S Residence practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for St. Theresa'S Residence is 1275734030. The last update date is 2020-08-22.
St. Theresa'S Residence's current location address is 30 S 10th Ave, Mt Vernon, New York. You can contact this provider via phone number 9146645900. The mailing address for St. Theresa'S Residence is 30 S 10th Ave, Mt Vernon, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St. Theresa'S Residence |
|---|---|
| Address | 30 S 10th Ave, Mt Vernon, New York |
| Phone Number | 9146645900 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Adler Bruce |
| Telephone Number | 6466334710 |
NPI Number Detail
| NPI Number | 1275734030 |
|---|---|
| Provider Enumeration Date | 2007-05-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 30 S 10th Ave |
|---|---|
| City | Mt Vernon |
| State | New York (NY) |
| Post Code | 105502907 |
| Phone Number | 9146645900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 7482440 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 729617 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to St. Theresa'S Residence by the Centers for Medicare & Medicaid Services?
The St. Theresa'S Residence has been issued the NPI (National Provider Identifier) 1275734030 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where St. Theresa'S Residence is geographically located?
The St. Theresa'S Residence is physically situated at the following location: 30 S 10Th Ave, Mt Vernon, NY, 105502907.
What is St. Theresa'S Residence's area of expertise and its corresponding taxonomy classification?
The St. Theresa'S Residence's field of specialization is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1275734030 to St. Theresa'S Residence?
The St. Theresa'S Residence received its 1275734030 assignment from the Centers for Medicare & Medicaid Services on 2007-05-30.
When was the St. Theresa'S Residence's information last updated?
The St. Theresa'S Residence's information was last updated on 2020-08-22.
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