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AID TO THE DEVELOPMENTALLY DISABLED INC NPI 1174770291


NPI Information

NPI: 1174770291
Provider Name: AID TO THE DEVELOPMENTALLY DISABLED, INC

Other Name: ADD, INC

Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization
Address:
901 E MAIN ST
SUITE 508
RIVERHEAD, NY
ZIP 11901
Phone: (631) 727-6220
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AID TO THE DEVELOPMENTALLY DISABLED, INC is an intermediate care facility mental illness in Riverhead, NY. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. AID TO THE DEVELOPMENTALLY DISABLED, INC NPI is 1174770291. The provider is registered as an organization entity type.
The provider Other Name Is Add, Inc.

The provider's business location address is:

901 E MAIN ST
SUITE 508
RIVERHEAD, NY
ZIP 11901-680
Phone: (631) 727-6220
Fax: (631) 727-6553

The provider's authorized official is Donald Leonard Rieb .
The authorized official title is Executive Director and has the following contact phone number (631) 727-6220.

The enumeration date for this NPI number is 8/20/2008 and was last updated on 4/3/2009.


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
1310500000XIntermediate Care Facility, Mental Illness7569731NEW YORKNo
2310500000XIntermediate Care Facility, Mental Illness7569430NEW YORKNo
3310500000XIntermediate Care Facility, Mental Illness7569433NEW YORKNo
4310500000XIntermediate Care Facility, Mental Illness7569432NEW YORKNo
5310500000XIntermediate Care Facility, Mental Illness7569435NEW YORKNo
6310500000XIntermediate Care Facility, Mental Illness7569434NEW YORKNo
7310500000XIntermediate Care Facility, Mental Illness7569431NEW 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
101303424MEDICAIDNEW 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: 4/28/2024

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