Bishop Ryan Residence in Copiague - Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Bishop Ryan Residence - NPI 1366562910

Bishop Ryan Residence is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Copiague, New York. Bishop Ryan Residence practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Bishop Ryan Residence is 1366562910. The last update date is 2020-08-22.

Bishop Ryan Residence's current location address is 258 Deauville Blvd, Copiague, New York. You can contact this provider via phone number 6316653434. The mailing address for Bishop Ryan Residence is 258 Deauville Blvd, Copiague, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Bishop Ryan Residence
Address 258 Deauville Blvd, Copiague, New York
Phone Number 6316653434
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CFO
Authorized Official Name Kennedy M Edwin
Telephone Number 5167337000

NPI Number Detail

NPI Number 1366562910
Provider Enumeration Date 2007-03-29
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 258 Deauville Blvd
City Copiague
State New York (NY)
Post Code 117263506
Phone Number 6316653434
Fax Number

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320600000X
Licence No 6186444
Definition:
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2245930 NY --

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FAQs about Bishop Ryan Residence

What is the unique provider identifier assigned to Bishop Ryan Residence?

The Bishop Ryan Residence has been issued the NPI (National Provider Identifier) 1366562910 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Bishop Ryan Residence is physically located?

The Bishop Ryan Residence is physically situated at the following address: 258 Deauville Blvd, Copiague, NY, 117263506.

What is the Bishop Ryan Residence's area of specialization and corresponding taxonomy classification?

The Bishop Ryan Residence's specialty field is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320600000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1366562910 to Bishop Ryan Residence?

The Centers for Medicare & Medicaid Services assigned the 1366562910 to Bishop Ryan Residence on 2007-03-29.

As of what date was the information regarding Bishop Ryan Residence, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Bishop Ryan Residence, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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