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LINCOLN HALL NPI 1710102363


NPI Information

NPI: 1710102363
Provider Name: LINCOLN HALL
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization

CLIA Number: 33D2268300

Address:
145 ROUTE 202
LINCOLNDALE, NY
ZIP 10540
Phone: (914) 248-7474
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LINCOLN HALL is a residential treatment facility emotionally disturbed children in Lincolndale, 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. LINCOLN HALL NPI is 1710102363. The provider is registered as an organization entity type.

The provider's business location address is:

145 ROUTE 202
LINCOLNDALE, NY
ZIP 10540-600
Phone: (914) 248-7474
Fax: (914) 248-5190

The provider's authorized official is Jack Flavin .
The authorized official title is Executive Director and has the following contact phone number (914) 248-7474.

The CLIA number assigned to this NPI record is 33D2268300 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenVID 00A01227 BNEW 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: 5/5/2024

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