Provider Type Icon

SERVICES FOR THE UNDERSERVED NPI 1548654932


NPI Information

NPI: 1548654932
Provider Name: SERVICES FOR THE UNDERSERVED

Doing Business As: SERVICES FOR THE UNDERSERVED FOUNTAIN ICF

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
888 FOUNTAIN AVE
SUITE 221-224
BROOKLYN, NY
ZIP 11239
Phone: (718) 642-6034
Get Directions

SERVICES FOR THE UNDERSERVED is a residential treatment facility, intellectual and/or developmental disabilities in Brooklyn, 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. SERVICES FOR THE UNDERSERVED NPI is 1548654932. The provider is registered as an organization entity type.
The provider Is Doing Business As Services For The Underserved Fountain Icf.

The provider's business location address is:

888 FOUNTAIN AVE
SUITE 221-224
BROOKLYN, NY
ZIP 11239-907
Phone: (718) 642-6034

The provider's authorized official is Lin Yang .
The authorized official title is Director - Medicaid Billing and has the following contact phone number (917) 408-1642.

The enumeration date for this NPI number is 3/24/2015 and was last updated on 3/24/2015.


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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities7559303NEW YORKYes

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: 11/14/2023

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.