AID TO THE DEVELOPMENTALLY DISABLED INC NPI 1265597108

NPI Information

NPI: 1265597108
Provider Name: AID TO THE DEVELOPMENTALLY DISABLED, INC

Other Name: ADD, INC

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
503 SOUND SHORE RD
RIVERHEAD, NY
ZIP 11901
Phone: (631) 722-3720
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AID TO THE DEVELOPMENTALLY DISABLED, INC is an intermediate care facility mentally retarded in Riverhead, NY. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. AID TO THE DEVELOPMENTALLY DISABLED, INC NPI is 1265597108. The provider is registered as an organization entity type.
The provider Other Name Is Add, Inc.

The provider's business location address is:

503 SOUND SHORE RD
RIVERHEAD, NY
ZIP 11901-305
Phone: (631) 722-3720

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 12/22/2006 and was last updated on 8/22/2020.

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
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		7569440	NEW YORK	Yes

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
1	00819663	MEDICAID	NEW 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

NPI Synchronization or Removal

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