ELMCREST CHILDRENS CENTER NPI 1417080292

NPI Information

  • NPI: 1417080292
  • Provider Name: ELMCREST CHILDRENS CENTER
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • CLIA Number: 33D2229620
  • Address: 960 SALT SPRINGS RD
    SYRACUSE, NY
    ZIP 13224
  • Phone: (315) 446-6250

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NPI Details

ELMCREST CHILDRENS CENTER is a residential treatment facility emotionally disturbed children in Syracuse, NY. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. ELMCREST CHILDRENS CENTER NPI is 1417080292. The provider is registered as an organization entity type.

The provider's business location address is:

960 SALT SPRINGS RD
SYRACUSE, NY
ZIP 13224-639
Phone: (315) 446-6250

The provider's authorized official is John E Henley .
The authorized official title is Executive Director and has the following contact phone number (315) 446-6250.

The CLIA number assigned to this NPI record is 33D2229620 - other - special needs housing with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2007 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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

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
100343311MEDICAIDNEW 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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