Sunmount Ddso Sru #1

LBN: State Of New York
Sunmount Ddso Sru #1 is an health care organization with primary practice located at 19 Hosley Ave , Tupper Lake NY 12986. 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. State Of New York can be contacted via phone (518) 402-4333, or through Smith, Karla via phone (518) 402-4333.

Contact Information

Primary practice address
19 Hosley Ave Tupper Lake NY 12986
Phone: (518) 402-4333
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Karla
Phone: (518) 402-4333

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 00225049 New York

Profile Details

NPI number 1720127418
LBN Legal business name State Of New York
DBA Doing business as Sunmount Ddso Sru #1
Authorized official Smith, Karla
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 6th, 2007
Last updated Jun 25th, 2008 - about 18 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 1720127418 NPPES
New York MEDICAID 01329157

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