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INCARNATION CHILDREN'S CENTER NPI 1104027952


NPI Information

NPI: 1104027952
Provider Name: INCARNATION CHILDREN'S CENTER
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization

Specialization: Nursing Care, Pediatric

Address:
142 AUDUBON AVE
NEW YORK, NY
ZIP 10032
Phone: (212) 928-2590
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INCARNATION CHILDREN'S CENTER is a nursing care and pediatric skilled nursing facility in New York, NY. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. INCARNATION CHILDREN'S CENTER NPI is 1104027952. The provider is registered as an organization entity type.

The provider's business location address is:

142 AUDUBON AVE
NEW YORK, NY
ZIP 10032-102
Phone: (212) 928-2590
Fax: (212) 928-1500

The provider's authorized official is Bruce Adler .
The authorized official title is Vice President Of Finance and has the following contact phone number (646) 633-4710.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13140N1450XSkilled Nursing FacilityNursing Care, Pediatric7002357NNEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102072580MEDICAIDNEW 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: 11/14/2023

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