St.Dominic'S Home in Blauvelt - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
St.Dominic'S Home - NPI 1750349692
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 1750349692. 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 |
---|---|
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 | 1750349692 |
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Provider Enumeration Date | 2006-05-02 |
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 |
---|---|---|---|
2280106 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to St.Dominic'S Home?
The St.Dominic'S Home has been issued the NPI (National Provider Identifier) 1750349692 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where St.Dominic'S Home's facilities are geographically located?
The facilities of St.Dominic'S Home are physically situated at the following location: 500 Western Hwy, Blauvelt, NY, 109132000.
What is St.Dominic'S Home's area of expertise and its corresponding taxonomy classification?
The St.Dominic'S Home's field of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320900000X, which categorizes healthcare providers based on their areas of practice.
When was the St.Dominic'S Home's 1750349692 issued?
The St.Dominic'S Home's 1750349692 was issued on 2006-05-02.
As of what date was the information pertaining to St.Dominic'S Home, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to St.Dominic'S Home, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.