KELLY HANNON NPI 1063519585

NPI Information

NPI: 1063519585
Provider Name: KELLY HANNON
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address: 1607 ROUTE 300
NEWBURGH, NY
ZIP 12550
Phone: (845) 564-9853

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NPI Details

KELLY HANNON is a day training developmentally disabled services in Newburgh, NY. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. KELLY HANNON NPI is 1063519585. The provider is registered as an organization entity type.

The provider's business location address is:

1607 ROUTE 300
NEWBURGH, NY
ZIP 12550-738
Phone: (845) 564-9853
Fax: (845) 564-6974

The provider's authorized official is Yvonne Pasqualicchio .
The authorized official title is Regional Manager and has the following contact phone number (845) 564-9853.

The enumeration date for this NPI number is 9/19/2006 and was last updated on 7/15/2008.

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	251C00000X	Day Training, Developmentally Disabled Services		009353	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	009353-1	OTHER	NEW YORK	OT LICENSE

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: 11/21/2025

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