ELDERBERRY ICF NPI 1427696061

NPI Information

NPI: 1427696061
Provider Name: ELDERBERRY ICF
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address: 15 POEM PLACE
MONTICELLO, NY
ZIP 12701
Phone: (845) 707-8341

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NPI Details

ELDERBERRY ICF is an intermediate care facility mentally retarded in Monticello, NY. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. ELDERBERRY ICF NPI is 1427696061. The provider is registered as an organization entity type.

The provider's business location address is:

15 POEM PLACE
MONTICELLO, NY
ZIP 12701
Phone: (845) 707-8341

The provider's authorized official is Philip Joseph Moraci .
The authorized official title is Vp Business Development and has the following contact phone number (845) 707-8135.

The enumeration date for this NPI number is 12/13/2019 and was last updated on 12/13/2019.

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				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	74670475	OTHER	NEW YORK	OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES

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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