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VANDERHEYDEN HALL INC. NPI 1659565059


NPI Information

NPI: 1659565059
Provider Name: VANDERHEYDEN HALL, INC.
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization

CLIA Number: 33D2147965

Address:
614 COOPER HILL RD
ROUTE 355
WYNANTSKILL, NY
ZIP 12198
Phone: (518) 283-6500
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VANDERHEYDEN HALL, INC. is a residential treatment facility emotionally disturbed children in Wynantskill, NY. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. VANDERHEYDEN HALL, INC. NPI is 1659565059. The provider is registered as an organization entity type.

The provider's business location address is:

614 COOPER HILL RD
ROUTE 355
WYNANTSKILL, NY
ZIP 12198-906
Phone: (518) 283-6500
Fax: (518) 283-3013

The provider's authorized official is Linda B. Mappes .
The authorized official title is Executive Director and has the following contact phone number (518) 283-6500.

The CLIA number assigned to this NPI record is 33D2147965 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2007 and was last updated on 8/29/2007.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenRID1911/VID00A02360BNEW 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
100353493MEDICAIDNEW 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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