Fccnysarc in Johnstown - Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Fccnysarc - NPI 1558411140

Fccnysarc is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Johnstown, New York. Fccnysarc practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Fccnysarc is 1558411140. The last update date is 2008-07-31.

Fccnysarc's current location address is 465 N Perry St, Johnstown, New York. You can contact this provider via phone number 5187737931 and fax number 5187252850. The mailing address for Fccnysarc is 465 N Perry St, Johnstown, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Fccnysarc
Address 465 N Perry St, Johnstown, New York
Phone Number 5187737931
Fax Number 5187252850
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CFO
Authorized Official Name Johnston Matthew
Telephone Number 5187737931

NPI Number Detail

NPI Number 1558411140
Provider Enumeration Date 2007-01-12
Last Updated Date 2008-07-31

Provider Mailing Address Detail

Address 465 N Perry St
City Johnstown
State New York (NY)
Post Code 120951014
Phone Number 5187737931
Fax Number 5187252850

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320600000X
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
931282 NY --

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FAQs about Fccnysarc

What is the unique provider identifier assigned to Fccnysarc?

The Fccnysarc has been issued the NPI (National Provider Identifier) 1558411140 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Fccnysarc is located?

The Fccnysarc is situated at the following address: 465 N Perry St, Johnstown, NY, 120951014.

What is Fccnysarc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Fccnysarc is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320600000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1558411140 to Fccnysarc?

The Fccnysarc received its 1558411140 assignment from the Centers for Medicare & Medicaid Services on 2007-01-12.

When was the information regarding Fccnysarc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Fccnysarc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-07-31.

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