Mission Of The Immaculate in Staten Island - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Mission Of The Immaculate - NPI 1750570495
Mission Of The Immaculate is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Staten Island, New York. Mission Of The Immaculate practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Mission Of The Immaculate is 1750570495. The last update date is 2007-10-18.
Mission Of The Immaculate's current location address is 6581 Hylan Blvd, Staten Island, New York. You can contact this provider via phone number 7183172803 and fax number 7183172830. The mailing address for Mission Of The Immaculate is 6581 Hylan Blvd, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mission Of The Immaculate |
|---|---|
| Address | 6581 Hylan Blvd, Staten Island, New York |
| Phone Number | 7183172803 |
| Fax Number | 7183172830 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Rynn W Stephen |
| Telephone Number | 7183172803 |
NPI Number Detail
| NPI Number | 1750570495 |
|---|---|
| Provider Enumeration Date | 2007-10-18 |
| Last Updated Date | 2007-10-18 |
Provider Mailing Address Detail
| Address | 6581 Hylan Blvd |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103093830 |
| Phone Number | 7183172803 |
| Fax Number | 7183172830 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 7943430 |
|
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 |
|---|---|---|---|
| 2253478 | NY | -- | |
| 2700118 | NY | -- | |
| 2002633 | NY | -- | |
| 1102721 | NY | -- |
Post Comment/ Review Below
What is the Mission Of The Immaculate's 1750570495?
The Mission Of The Immaculate's NPI (National Provider Identifier) Number is 1750570495. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mission Of The Immaculate is physically located?
The Mission Of The Immaculate is situated at the following address: 6581 Hylan Blvd, Staten Island, NY 103093830.
What is the area of specialization for Mission Of The Immaculate, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mission Of The Immaculate is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320600000X.
When was the Mission Of The Immaculate's 1750570495 issued?
The Mission Of The Immaculate's 1750570495 was issued on 2007-10-18.
When was the information regarding Mission Of The Immaculate, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mission Of The Immaculate, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-18.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC