SHAUN JOHNSON NPI 1427224369

NPI Information

NPI: 1427224369
Provider Name: SHAUN JOHNSON
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Individual
Address:
14 IVANHOE PL
VALLEY STREAM, NY
ZIP 11580
Phone: (917) 975-3906
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Shaun Johnson is a residential treatment facility, intellectual and/or developmental disabilities in Valley Stream, NY. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. Shaun Johnson NPI is 1427224369. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14 IVANHOE PL
VALLEY STREAM, NY
ZIP 11580-902
Phone: (917) 975-3906

The enumeration date for this NPI number is 4/30/2008 and was last updated on 4/30/2008.

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	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities				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

NPI Synchronization or Removal

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