Community Residence

LBN: Jewish Board Of Family And Children'S Services Inc
Community Residence is an health care organization with primary practice located at 463 7Th Ave Fl 18 , New York NY 10018-7604. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Jewish Board Of Family And Children'S Services Inc can be contacted via phone (212) 582-9100, or through Gray, Laura A via phone (914) 773-7458.

Contact Information

Primary practice address
463 7Th Ave Fl 18 New York NY 10018-7604
Phone: (212) 582-9100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gray, Laura A
Phone: (914) 773-7458

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1265617898
LBN Legal business name Jewish Board Of Family And Children'S Services Inc
DBA Doing business as Community Residence
Authorized official Gray, Laura A
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2008
Last updated Jul 21st, 2022 - about 2 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 1265617898 NPPES
New York MEDICAID 01303539

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