CNYDDSO NPI 1356700488

NPI Information

NPI: 1356700488
Provider Name: CNYDDSO

Other Name: OPWDD

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1315 SCHUYLER ST
ROME, NY
ZIP 13440
Phone: (315) 794-4469
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CNYDDSO is a community based residential treatment facility, intellectual and/or developmental disabilities in Rome, NY. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. CNYDDSO NPI is 1356700488. The provider is registered as an organization entity type.
The provider Other Name Is Opwdd.

The provider's business location address is:

1315 SCHUYLER ST
ROME, NY
ZIP 13440-825
Phone: (315) 794-4469

The provider's authorized official is Kent A Myers .
The authorized official title is Senior Ot and has the following contact phone number (315) 339-6536.

The enumeration date for this NPI number is 2/17/2016 and was last updated on 2/17/2016.

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
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		007106-1	NEW YORK	Yes

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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