GAN KAVOD INC NPI 1346415841

NPI Information

NPI: 1346415841
Provider Name: GAN KAVOD, INC
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address: 2050 TILDEN AVE
BOX 1000
NEW HARTFORD, NY
ZIP 13413
Phone: (315) 797-3114

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NPI Details

GAN KAVOD, INC is an intermediate care facility mentally retarded in New Hartford, NY. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. GAN KAVOD, INC NPI is 1346415841. The provider is registered as an organization entity type.

The provider's business location address is:

2050 TILDEN AVE
BOX 1000
NEW HARTFORD, NY
ZIP 13413-613
Phone: (315) 797-3114
Fax: (315) 624-0474

The provider's authorized official is Patricia A Hays .
The authorized official title is Administrator Of Community Services and has the following contact phone number (315) 797-3114.

The enumeration date for this NPI number is 4/25/2008 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	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities			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	01224515	MEDICAID	NEW YORK
2	01224506	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: 11/21/2025

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