NEW YORK STATE ASSOCIATION FOR RETARDED CHILDREN INC NASSAU COUNTY CHA NPI 1447303797

NPI Information

NPI: 1447303797
Provider Name: NEW YORK STATE ASSOCIATION FOR RETARDED CHILDREN INC NASSAU COUNTY CHA
Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization
Address:
189 WHEATLEY RD
GLEN HEAD, NY
ZIP 11545
Phone: (516) 626-1075
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NEW YORK STATE ASSOCIATION FOR RETARDED CHILDREN INC NASSAU COUNTY CHA is an intermediate care facility mental illness in Glen Head, NY. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. NEW YORK STATE ASSOCIATION FOR RETARDED CHILDREN INC NASSAU COUNTY CHA NPI is 1447303797. The provider is registered as an organization entity type.

The provider's business location address is:

189 WHEATLEY RD
GLEN HEAD, NY
ZIP 11545-641
Phone: (516) 626-1075
Fax: (516) 626-3308

The provider's authorized official is Anthony T Russo .
The authorized official title is Director Of Finance and has the following contact phone number (516) 626-1075.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 7/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310500000X	Intermediate Care Facility, Mental Illness				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01091854	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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