St.Vincent Services Ira in Brooklyn - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

St.Vincent Services Ira - NPI 1992979744

St.Vincent Services Ira is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Brooklyn, New York. St.Vincent Services Ira practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for St.Vincent Services Ira is 1992979744. The last update date is 2008-04-14.

St.Vincent Services Ira's current location address is 66 Boerum Pl, Brooklyn, New York. You can contact this provider via phone number 7185223700 and fax number 7184887618. The mailing address for St.Vincent Services Ira is 66 Boerum Pl, Brooklyn, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization St.Vincent Services Ira
Address 66 Boerum Pl, Brooklyn, New York
Phone Number 7185223700
Fax Number 7184887618
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CONTROLLER
Authorized Official Name Benenati Jeffrey
Telephone Number 7184222204

NPI Number Detail

NPI Number 1992979744
Provider Enumeration Date 2008-04-14
Last Updated Date 2008-04-14

Provider Mailing Address Detail

Address 66 Boerum Pl
City Brooklyn
State New York (NY)
Post Code 112015705
Phone Number 7185223700
Fax Number 7184887618

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320900000X
Licence No 2254373
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
2254373 NY --

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FAQs about St.Vincent Services Ira

What is the St.Vincent Services Ira's unique identification number?

The St.Vincent Services Ira has been assigned the NPI (National Provider Identifier) Number 1992979744 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the St.Vincent Services Ira's physical address?

The St.Vincent Services Ira is physically located at 66 Boerum Pl, in the city of Brooklyn, NY, with the postal code 112015705.

What is the St.Vincent Services Ira's specialty and taxonomy code?

The St.Vincent Services Ira's specialty is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320900000X.

When did St.Vincent Services Ira receive its 1992979744 assignment?

The St.Vincent Services Ira was assigned its 1992979744 on 2008-04-14, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to St.Vincent Services Ira most recently updated or revised?

The information pertaining to St.Vincent Services Ira, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-14.

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