URBAN RESOURCE INSTITUTE NPI 1205048105

NPI Information

  • NPI: 1205048105
  • Provider Name: URBAN RESOURCE INSTITUTE
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Address: 15519 LINDEN BLVD
    JAMAICA, NY
    ZIP 11434
  • Phone: (646) 588-0030

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NPI Details

URBAN RESOURCE INSTITUTE is an intermediate care facility mentally retarded in Jamaica, NY. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. URBAN RESOURCE INSTITUTE NPI is 1205048105. The provider is registered as an organization entity type.

The provider's business location address is:

15519 LINDEN BLVD
JAMAICA, NY
ZIP 11434-017
Phone: (646) 588-0030
Fax: (646) 588-0033

The provider's authorized official is Donovan Murray .
The authorized official title is Senior Vice President, Finance/cfo and has the following contact phone number (646) 588-0040.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 12/14/2016.

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
1315P00000XIntermediate Care Facility, Intellectual Disabilities7712440NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101207661MEDICAIDNEW 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: 3/30/2025

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