St.Dominic'S Home,Inc in Blauvelt - Respite Care, Intellectual And/or Developmental Disabilities
St.Dominic'S Home,Inc - NPI 1417905548
St.Dominic'S Home,Inc is a Respite Care, Intellectual And/or Developmental Disabilities in Blauvelt, New York. St.Dominic'S Home,Inc practices all healthcare services and medical treatments related to Respite Care, Intellectual And/or Developmental Disabilities. The NPI Number for St.Dominic'S Home,Inc is 1417905548. 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 | 1417905548 |
|---|---|
| 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 | Respite Care, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 385Hr2060X |
| Licence No | RSP22280 |
|
Definition: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2596490 | 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) 1417905548. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where St.Dominic'S Home,Inc is geographically located?
The St.Dominic'S Home,Inc is physically situated at the following location: 500 Western Hwy, Blauvelt, NY, 109132000.
What is St.Dominic'S Home,Inc'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,Inc is Respite Care, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 385Hr2060X.
On what date did the St.Dominic'S Home,Inc receive its 1417905548 assignment from the Centers for Medicare & Medicaid Services?
The St.Dominic'S Home,Inc was assigned its 1417905548 by the Centers for Medicare & Medicaid Services on 2006-05-04.
When was the St.Dominic'S Home,Inc's information last updated?
The St.Dominic'S Home,Inc's information was last updated on 2020-08-22.