COMMUNITY SERVICES FOR THE DEVELOPMENTALLY DISABLED INC NPI 1124025705

NPI Information

NPI: 1124025705
Provider Name: COMMUNITY SERVICES FOR THE DEVELOPMENTALLY DISABLED, INC
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
452 DELAWARE AVE
BUFFALO, NY
ZIP 14202
Phone: (716) 883-8888
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COMMUNITY SERVICES FOR THE DEVELOPMENTALLY DISABLED, INC is a residential treatment facility, intellectual and/or developmental disabilities in Buffalo, 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. COMMUNITY SERVICES FOR THE DEVELOPMENTALLY DISABLED, INC NPI is 1124025705. The provider is registered as an organization entity type.

The provider's business location address is:

452 DELAWARE AVE
BUFFALO, NY
ZIP 14202-515
Phone: (716) 883-8888
Fax: (716) 883-2065

The provider's authorized official is Mark R Foley .
The authorized official title is President And Ceo and has the following contact phone number (716) 883-8888.

The enumeration date for this NPI number is 6/28/2005 and was last updated on 7/21/2022.

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	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	NEW YORK	Yes
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	NEW YORK	X
3	251C00000X	Day Training, Developmentally Disabled Services	NEW YORK	X
4	251B00000X	Case Management	NEW YORK	X

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 Issuer
1	01997699	OTHER	NON-WAIVE/ISS SERVICE COO
2	01492135	OTHER	IRE WAIVER DAY HABILITATI
3	01997699	OTHER	WAIVER MSC
4	02171846	OTHER	WAIVER SUPPORTIVE EMPLOYM
5	02253487	OTHER	WAIVER SUPPORTIVE IRA
6	02591739	OTHER	WAIVER HOURLY RESPITE
7	02599833	OTHER	WAIVER LAKE IRA
8	01492135	OTHER	SENIOR DAY WAIVER DAY HAB
9	01750334	OTHER	ISE WAIVER RESIDENTAIL HA
10	01750334	OTHER	1845 GENESEE NON DD DAY H
11	02161508	OTHER	GROUP & INDIVIDUAL FAMILY
12	02253469	OTHER	WAIVER SERVICE IRA
13	01492135	OTHER	WAIVER/HCBS DAY HABILITAT
14	01492135	OTHER	WAIVER/HCBS RESIDENTIAL H
15	01750334	OTHER	PACT WAIVER RESIDENTIAL H
16	01750334	OTHER	1377 ABBOTT RD DAY HABILI
17	02588663	OTHER	WAIVER BAKOS IRA
18	02161508	OTHER	ACT WAIVER DAY HABILITATI

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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