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DAYSTAR FORMEDICALLY FRAGILE CHILDREN INC NPI 1376935957


NPI Information

NPI: 1376935957
Provider Name: DAYSTAR FORMEDICALLY FRAGILE CHILDREN, INC
Classification: Respite Care - 385HR2065X
Entity Type: Organization

Specialization: Respite Care, Physical Disabilities, Child

Address:
700 LAC DE VILLE BLVD
ROCHESTER, NY
ZIP 14618
Phone: (585) 385-6287
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DAYSTAR FORMEDICALLY FRAGILE CHILDREN, INC is a respite care and physical disabilities and child respite care in Rochester, NY. The provider is a facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers. DAYSTAR FORMEDICALLY FRAGILE CHILDREN, INC NPI is 1376935957. The provider is registered as an organization entity type.

The provider's business location address is:

700 LAC DE VILLE BLVD
ROCHESTER, NY
ZIP 14618-665
Phone: (585) 385-6287

The provider's authorized official is Denique Conner .
The authorized official title is Finance Director and has the following contact phone number (585) 385-6287.

The enumeration date for this NPI number is 2/19/2015 and was last updated on 2/19/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1385HR2065XRespite CareRespite Care, Physical Disabilities, ChildYes

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
103081367MEDICAIDNEW 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

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