Mission Of The Immaculate

LBN: Mission Of The Immaculate
Mission Of The Immaculate is an health care organization with primary practice located at 6581 Hylan Blvd , Staten Island NY 10309-3830. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Mission Of The Immaculate can be contacted via phone (718) 317-2803, or through Rynn, Stephen W via phone (718) 317-2803.

Contact Information

Primary practice address
6581 Hylan Blvd Staten Island NY 10309-3830
Phone: (718) 317-2803
Fax: (718) 317-2830
Website:
Map and Directions
Authorized official contact:
Name: Rynn, Stephen W
Phone: (718) 317-2803

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 7943430 New York

Profile Details

NPI number 1750570495
LBN Legal business name Mission Of The Immaculate
DBA Doing business as
Authorized official Rynn, Stephen W
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2007
Last updated Oct 18th, 2007 - 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 1750570495 NPPES
New York MEDICAID 02253478
New York MEDICAID 02700118
New York MEDICAID 02002633
New York MEDICAID 01102721

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