SPECIAL NEEDS PROGRAM INC NPI 1093912685

NPI Information

  • NPI: 1093912685
  • Provider Name: SPECIAL NEEDS PROGRAM, INC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 1351 ROUTE 66
    GHENT, NY
    ZIP 12075
  • Phone: (518) 822-1054

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NPI Details

SPECIAL NEEDS PROGRAM, INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Ghent, NY. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. SPECIAL NEEDS PROGRAM, INC NPI is 1093912685. The provider is registered as an organization entity type.

The provider's business location address is:

1351 ROUTE 66
GHENT, NY
ZIP 12075
Phone: (518) 822-1054
Fax: (518) 822-0739

The provider's authorized official is Timothy Merol Hime .
The authorized official title is Ceo and has the following contact phone number (518) 822-1054.

The enumeration date for this NPI number is 6/28/2007 and was last updated on 8/9/2007.

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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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
100979800MEDICAIDNEW YORK
202597597MEDICAIDNEW YORK
302250008MEDICAIDNEW YORK
402003249MEDICAIDNEW YORK
502363495MEDICAIDNEW YORK
601825992MEDICAIDNEW YORK
702111080MEDICAIDNEW YORK
802701320MEDICAIDNEW YORK
902648286MEDICAIDNEW YORK
1002587364MEDICAIDNEW YORK
1102587373MEDICAIDNEW 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: 11/21/2025

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