WILLIAM F RYAN COMMUNITY HEALTH CENTER INC NPI 1366716680

NPI Information

NPI: 1366716680
Provider Name: WILLIAM F RYAN COMMUNITY HEALTH CENTER INC

Other Name: WEST END INTERGENERATIONAL RESIDENCE

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
483 W END AVE
NEW YORK, NY
ZIP 10024
Phone: (212) 749-1820
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WILLIAM F RYAN COMMUNITY HEALTH CENTER INC is a community based residential treatment facility mental illness in New York, NY. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. WILLIAM F RYAN COMMUNITY HEALTH CENTER INC NPI is 1366716680. The provider is registered as an organization entity type.
The provider Other Name Is West End Intergenerational Residence.

The provider's business location address is:

483 W END AVE
NEW YORK, NY
ZIP 10024-340
Phone: (212) 749-1820
Fax: (212) 932-8323

The provider's authorized official is Brian Mcindoe .
The authorized official title is Chief Financial Officer and has the following contact phone number (212) 316-7906.

The enumeration date for this NPI number is 3/5/2012 and was last updated on 11/19/2015.

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	320800000X	Community Based Residential Treatment Facility, Mental Illness		7002243R	NEW YORK	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	331060	MEDICARE OSCAR/CERTIFICATION	NEW YORK
2	02999264	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: 4/28/2024

NPI Synchronization or Removal

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