Staten Island Developmental Disabilities Services Office in Staten Island - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Staten Island Developmental Disabilities Services Office - NPI 1144423062
Staten Island Developmental Disabilities Services Office is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Staten Island, New York. Staten Island Developmental Disabilities Services Office practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Staten Island Developmental Disabilities Services Office is 1144423062. The last update date is 2023-03-07.
Staten Island Developmental Disabilities Services Office's current location address is 1150 Forest Hill Rd, Staten Island, New York. You can contact this provider via phone number 7189835365 and fax number 7189835462. The mailing address for Staten Island Developmental Disabilities Services Office is 1150 Forest Hill Rd, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Staten Island Developmental Disabilities Services Office |
|---|---|
| Address | 1150 Forest Hill Rd, Staten Island, New York |
| Phone Number | 7189835365 |
| Fax Number | 7189835462 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Booth E David |
| Credentials | PH.D |
| Telephone Number | 7189835321 |
NPI Number Detail
| NPI Number | 1144423062 |
|---|---|
| Provider Enumeration Date | 2007-06-07 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1150 Forest Hill Rd |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103146316 |
| Phone Number | 7189835365 |
| Fax Number | 7189835462 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 6544 |
|
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 |
|---|---|---|---|
| 1113928 | NY | -- | |
| 3351739 | NY | NCPDP PROVIDER ID | |
| 6544 | NY | STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Staten Island Developmental Disabilities Services Office by the Centers for Medicare & Medicaid Services?
The Staten Island Developmental Disabilities Services Office has been assigned the NPI (National Provider Identifier) 1144423062 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Staten Island Developmental Disabilities Services Office's facilities are geographically located?
The facilities of Staten Island Developmental Disabilities Services Office are physically situated at the following location: 1150 Forest Hill Rd, Staten Island, NY, 103146316.
What is the Staten Island Developmental Disabilities Services Office's area of specialization and corresponding taxonomy classification?
The Staten Island Developmental Disabilities Services Office'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.
When did Staten Island Developmental Disabilities Services Office receive its 1144423062 assignment?
The Staten Island Developmental Disabilities Services Office was assigned its 1144423062 on 2007-06-07, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Staten Island Developmental Disabilities Services Office last refreshed?
The information related to the Staten Island Developmental Disabilities Services Office, including its address, specialty, and other relevant details, was last updated on 2023-03-07.