Martin De Porres Group Homes in Springfield Gardens - Residential Treatment Facility, Emotionally Disturbed Children

Martin De Porres Group Homes - NPI 1629163563

Martin De Porres Group Homes is a Residential Treatment Facility, Emotionally Disturbed Children in Springfield Gardens, New York. Martin De Porres Group Homes practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Martin De Porres Group Homes is 1629163563. The last update date is 2020-08-22.

Martin De Porres Group Homes's current location address is 136 25 218th Street, Springfield Gardens, New York. You can contact this provider via phone number 7185270606 and fax number 7187231528. The mailing address for Martin De Porres Group Homes is 136 25 218th Street, Springfield Gardens, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Martin De Porres Group Homes
Address 136 25 218th Street, Springfield Gardens, New York
Phone Number 7185270606
Fax Number 7187231528
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Rofrano Philip
Credentials LCSW
Telephone Number 7185270606

NPI Number Detail

NPI Number 1629163563
Provider Enumeration Date 2006-10-04
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 136 25 218th Street
City Springfield Gardens
State New York (NY)
Post Code 114132226
Phone Number 7185270606
Fax Number 7187231528

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Emotionally Disturbed Children
Taxonomy 322D00000X
Licence No 328116
Definition:
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
328116 NY --

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FAQs about Martin De Porres Group Homes

What is the unique identification code assigned to Martin De Porres Group Homes by the Centers for Medicare & Medicaid Services?

The Martin De Porres Group Homes has been issued the NPI (National Provider Identifier) 1629163563. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Martin De Porres Group Homes's facilities are situated?

The facilities of Martin De Porres Group Homes are physically located at the following address: 136 25 218Th Street, Springfield Gardens, NY, 114132226.

What is Martin De Porres Group Homes's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Martin De Porres Group Homes is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy classification code for this specialized field is 322D00000X.

On what date was the 1629163563 assigned to Martin De Porres Group Homes?

The Martin De Porres Group Homes was issued its 1629163563 on 2006-10-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Martin De Porres Group Homes, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Martin De Porres Group Homes, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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