WINDHAM FALLS RECOVERY LLC NPI 1174396683

NPI Information

  • NPI: 1174396683
  • Provider Name: WINDHAM FALLS RECOVERY LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 33D2320778
  • Address: 2774 ROUTE 42
    WEST KILL, NY
    ZIP 12492
  • Phone: (347) 622-3605

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NPI Details

WINDHAM FALLS RECOVERY LLC is a substance abuse rehabilitation facility in West Kill, NY. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. WINDHAM FALLS RECOVERY LLC NPI is 1174396683. The provider is registered as an organization entity type.

The provider's business location address is:

2774 ROUTE 42
WEST KILL, NY
ZIP 12492-101
Phone: (347) 622-3605

The provider's authorized official is Tuvia Friedman .
The authorized official title is Partner and has the following contact phone number (347) 622-3605.

The CLIA number assigned to this NPI record is 33D2320778 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2023 and was last updated on 1/5/2024.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QM0850XClinic/CenterAdult Mental HealthNo
4324500000XSubstance Abuse Rehabilitation FacilityYes

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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