St.Dominic'S Home

LBN: St.Dominic'S Home
St.Dominic'S Home is an health care organization with primary practice located at 500 Western Hwy , Blauvelt NY 10913-2000. 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. St.Dominic'S Home can be contacted via phone (845) 359-3400, or through Kydon, Judith D via phone (845) 359-3400.

Contact Information

Primary practice address
500 Western Hwy Blauvelt NY 10913-2000
Phone: (845) 359-3400
Fax: (845) 359-4253
Website:
Map and Directions
Authorized official contact:
Name: Kydon, Judith D Master of Education (MED)
Phone: (845) 359-3400

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 07159460 New York

Profile Details

NPI number 1174581037
LBN Legal business name St.Dominic'S Home
DBA Doing business as
Authorized official Kydon, Judith D Master of Education (MED)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2006
Last updated Sep 20th, 2016 - about 10 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 1174581037 NPPES
New York MEDICAID 02573797

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