Elderberry Icf

LBN: Elderberry Icf
Elderberry Icf is an health care organization with primary practice located at 15 Poem Place , Monticello NY 12701. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Elderberry Icf can be contacted via phone (845) 707-8341, or through Moraci, Philip Joseph via phone (845) 707-8135.

Contact Information

Primary practice address
15 Poem Place Monticello NY 12701
Phone: (845) 707-8341
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moraci, Philip Joseph
Phone: (845) 707-8135

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1427696061
LBN Legal business name Elderberry Icf
DBA Doing business as
Authorized official Moraci, Philip Joseph
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 13th, 2019
Last updated Dec 13th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427696061 NPPES
New York Other 74670475 OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES

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