SUPPORTIVE SERVICES FOR CHILDREN INC NPI 1609336841

NPI Information

NPI: 1609336841
Provider Name: SUPPORTIVE SERVICES FOR CHILDREN, INC
Classification: Respite Care - 385HR2055X
Entity Type: Organization

Specialization: Respite Care, Mental Illness, Child

Address:
14813 HILLSIDE AVE
JAMAICA, NY
ZIP 11435
Phone: (347) 238-1435
Get Directions

SUPPORTIVE SERVICES FOR CHILDREN, INC is a respite care and mental illness and child respite care in Jamaica, NY. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. SUPPORTIVE SERVICES FOR CHILDREN, INC NPI is 1609336841. The provider is registered as an organization entity type.

The provider's business location address is:

14813 HILLSIDE AVE
JAMAICA, NY
ZIP 11435-330
Phone: (347) 238-1435

The provider's authorized official is Emmanuel Odigie .
The authorized official title is President &ceo and has the following contact phone number (347) 238-1435.

The enumeration date for this NPI number is 3/22/2019 and was last updated on 3/22/2019.

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	385HR2055X	Respite Care	Respite Care, Mental Illness, Child			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	213624839	MEDICAID	NEW 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

NPI Synchronization or Removal

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