Puero Rican Family Icf # 3 in Bronx - Intermediate Care Facility, Intellectual Disabilities

Puero Rican Family Icf # 3 - NPI 1699947374

Puero Rican Family Icf # 3 is a Intermediate Care Facility, Intellectual Disabilities in Bronx, New York. Puero Rican Family Icf # 3 practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Puero Rican Family Icf # 3 is 1699947374. The last update date is 2008-04-02.

Puero Rican Family Icf # 3's current location address is 194 W 180th St, Bronx, New York. You can contact this provider via phone number 2124147822 and fax number 2126915635. The mailing address for Puero Rican Family Icf # 3 is 194 W 180th St, Bronx, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Puero Rican Family Icf # 3
Address 194 W 180th St, Bronx, New York
Phone Number 2124147822
Fax Number 2126915635
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CONTROLLER
Authorized Official Name Cina Karl
Telephone Number 2122296921

NPI Number Detail

NPI Number 1699947374
Provider Enumeration Date 2008-04-02
Last Updated Date 2008-04-02

Provider Mailing Address Detail

Address 194 W 180th St
City Bronx
State New York (NY)
Post Code 104532905
Phone Number 2124147822
Fax Number 2126915635

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Licence No 6482441
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1113304 NY --

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FAQs about Puero Rican Family Icf # 3

What is the unique identification code assigned to Puero Rican Family Icf # 3 by the Centers for Medicare & Medicaid Services?

The Puero Rican Family Icf # 3 has been issued the NPI (National Provider Identifier) 1699947374. 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 address where Puero Rican Family Icf # 3 is physically located?

The Puero Rican Family Icf # 3 is situated at the following address: 194 W 180Th St, Bronx, NY 104532905.

What is Puero Rican Family Icf # 3's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Puero Rican Family Icf # 3 is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy classification code for this specialized field is 315P00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1699947374 to Puero Rican Family Icf # 3?

The Centers for Medicare & Medicaid Services assigned the 1699947374 to Puero Rican Family Icf # 3 on 2008-04-02.

When was the information related to Puero Rican Family Icf # 3 most recently updated or refreshed?

The details pertaining to the Puero Rican Family Icf # 3, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-02.

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