St. Theresa'S Residence

LBN: St. Theresa'S Residence
St. Theresa'S Residence is an health care organization with primary practice located at 30 S 10Th Ave , Mt Vernon NY 10550-2907. 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. Theresa'S Residence can be contacted via phone (914) 664-5900, or through Adler, Bruce via phone (646) 633-4710.

Contact Information

Primary practice address
30 S 10Th Ave Mt Vernon NY 10550-2907
Phone: (914) 664-5900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Adler, Bruce
Phone: (646) 633-4710

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 7482440 New York

Profile Details

NPI number 1275734030
LBN Legal business name St. Theresa'S Residence
DBA Doing business as
Authorized official Adler, Bruce
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1275734030 NPPES
New York MEDICAID 00729617

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