St.Dominic'S Home in Blauvelt - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
St.Dominic'S Home - NPI 1376580092
St.Dominic'S Home is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Blauvelt, New York. St.Dominic'S Home practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for St.Dominic'S Home is 1376580092. The last update date is 2020-08-22.
St.Dominic'S Home'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 is 500 Western Hwy, Blauvelt, New York. To know further, please read the information below!
Provider Profile Detail
Provider Organization | St.Dominic'S Home |
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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 | M.ED |
Telephone Number | 8453593400 |
NPI Number Detail
NPI Number | 1376580092 |
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Provider Enumeration Date | 2006-06-01 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 500 Western Hwy |
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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, Intellectual And/or Developmental Disabilities |
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Taxonomy | 320900000X |
Licence No | 22280 |
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1494302 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to St.Dominic'S Home by the Centers for Medicare & Medicaid Services?
The St.Dominic'S Home has been assigned the NPI (National Provider Identifier) 1376580092 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where St.Dominic'S Home is located?
The St.Dominic'S Home is situated at the following address: 500 Western Hwy, Blauvelt, NY, 109132000.
What is St.Dominic'S Home's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for St.Dominic'S Home is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320900000X.
On what date did the St.Dominic'S Home receive its 1376580092 assignment from the Centers for Medicare & Medicaid Services?
The St.Dominic'S Home was assigned its 1376580092 by the Centers for Medicare & Medicaid Services on 2006-06-01.
When was the information related to St.Dominic'S Home most recently updated or refreshed?
The details pertaining to the St.Dominic'S Home, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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