St.Dominic'S Home,Inc in Blauvelt - Community Based Residential Treatment Facility, Mental Illness
St.Dominic'S Home,Inc - NPI 1952359069
St.Dominic'S Home,Inc is a Community Based Residential Treatment Facility, Mental Illness in Blauvelt, New York. St.Dominic'S Home,Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for St.Dominic'S Home,Inc is 1952359069. The last update date is 2020-08-22.
St.Dominic'S Home,Inc's current location address is 500 Western Hwy, Blauvelt, New York. You can contact this provider via phone number 8453593400 and fax number 8453594253. The mailing address for St.Dominic'S Home,Inc is 500 Western Hwy, Blauvelt, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St.Dominic'S Home,Inc |
|---|---|
| Address | 500 Western Hwy, Blauvelt, New York |
| Phone Number | 8453593400 |
| Fax Number | 8453594253 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Kydon D Judith |
| Credentials | MED |
| Telephone Number | 8453593400 |
NPI Number Detail
| NPI Number | 1952359069 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 500 Western Hwy |
|---|---|
| City | Blauvelt |
| State | New York (NY) |
| Post Code | 109132000 |
| Phone Number | 8453593400 |
| Fax Number | 8453594253 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | R7159431 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1310012 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to St.Dominic'S Home,Inc by the Centers for Medicare & Medicaid Services (CMS)?
The St.Dominic'S Home,Inc has been assigned the NPI (National Provider Identifier) 1952359069. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where St.Dominic'S Home,Inc is physically located?
The St.Dominic'S Home,Inc is situated at the following address: 500 Western Hwy, Blauvelt, NY 109132000.
What is the area of specialization for St.Dominic'S Home,Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for St.Dominic'S Home,Inc is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of expertise is 320800000X.
On what date did St.Dominic'S Home,Inc receive its 1952359069 assignment from the Centers for Medicare & Medicaid Services?
The St.Dominic'S Home,Inc was assigned its 1952359069 on 2006-05-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to St.Dominic'S Home,Inc most recently updated or refreshed?
The details pertaining to the St.Dominic'S Home,Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.