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AID TO THE DEVELOPMENTALLY DISABLED INC NPI 1528123437


NPI Information

NPI: 1528123437
Provider Name: AID TO THE DEVELOPMENTALLY DISABLED, INC

Other Name: ADD, INC

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
12 SALLY LN
RIDGE, NY
ZIP 11961
Phone: (631) 345-3250
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AID TO THE DEVELOPMENTALLY DISABLED, INC is an intermediate care facility mentally retarded in Ridge, NY. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. AID TO THE DEVELOPMENTALLY DISABLED, INC NPI is 1528123437. The provider is registered as an organization entity type.
The provider Other Name Is Add, Inc.

The provider's business location address is:

12 SALLY LN
RIDGE, NY
ZIP 11961-601
Phone: (631) 345-3250

The provider's authorized official is Donald Leonard Rieb .
The authorized official title is Executive Director and has the following contact phone number (631) 727-6220.

The enumeration date for this NPI number is 12/22/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Intellectual Disabilities7569450NEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102106527MEDICAIDNEW 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: 4/28/2024

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