Provider Type Icon

SCO FAMILY OF SERVICES NPI 1417196940


NPI Information

NPI: 1417196940
Provider Name: SCO FAMILY OF SERVICES
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
1 ALEXANDER PL
GLEN COVE, NY
ZIP 11542
Phone: (516) 759-1844
Get Directions

SCO FAMILY OF SERVICES is a residential treatment facility emotionally disturbed children in Glen Cove, 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. SCO FAMILY OF SERVICES NPI is 1417196940. The provider is registered as an organization entity type.

The provider's business location address is:

1 ALEXANDER PL
GLEN COVE, NY
ZIP 11542-745
Phone: (516) 759-1844
Fax: (516) 759-6921

The provider's authorized official is Douglas O'dell .
The authorized official title is Ceo and has the following contact phone number (516) 671-1253.

The enumeration date for this NPI number is 2/6/2009 and was last updated on 11/14/2014.


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
101857327MEDICAIDNEW 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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.