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STATEN ISLAND AID FOR RETARDED CHILDREN INC NPI 1083898845


NPI Information

NPI: 1083898845
Provider Name: STATEN ISLAND AID FOR RETARDED CHILDREN, INC

Doing Business As: COMMUNITY RESOURCES

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
3450 VICTORY BLVD
STATEN ISLAND, NY
ZIP 10314
Phone: (718) 447-5200
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STATEN ISLAND AID FOR RETARDED CHILDREN, INC is a residential treatment facility, intellectual and/or developmental disabilities in Staten Island, NY. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. STATEN ISLAND AID FOR RETARDED CHILDREN, INC NPI is 1083898845. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Resources.

The provider's business location address is:

3450 VICTORY BLVD
STATEN ISLAND, NY
ZIP 10314-721
Phone: (718) 447-5200
Fax: (718) 448-6939

The provider's authorized official is Dana Thomas Magee .
The authorized official title is Ceo/executive Director and has the following contact phone number (718) 447-5200.

The enumeration date for this NPI number is 12/28/2007 and was last updated on 11/16/2017.


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
1251C00000XDay Training, Developmentally Disabled Services6669300NEW YORKNo
2320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities28330NEW 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
101489752MEDICAIDNEW YORK
202592565MEDICAIDNEW YORK
302740696MEDICAIDNEW YORK
402249732MEDICAIDNEW YORK
502003625MEDICAIDNEW YORK
602169524MEDICAIDNEW YORK
700357584MEDICAIDNEW YORK
802249741MEDICAIDNEW YORK
902625152MEDICAIDNEW YORK
1002704525MEDICAIDNEW 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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