Evergreen Icf

LBN: Sdtc The Center For Discovery
Evergreen Icf is an health care organization with primary practice located at 18 Unami Circle , Monticello NY 12701. 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. Sdtc The Center For Discovery can be contacted via phone (845) 794-1400, or through D'Alessandro, Claude via phone (845) 794-1400.

Contact Information

Primary practice address
18 Unami Circle Monticello NY 12701
Phone: (845) 794-1400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: D'Alessandro, Claude
Phone: (845) 794-1400

Health care specialties

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

Profile Details

NPI number 1265628325
LBN Legal business name Sdtc The Center For Discovery
DBA Doing business as Evergreen Icf
Authorized official D'Alessandro, Claude
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2007
Last updated Sep 21st, 2007 - about 17 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 1265628325 NPPES
New York MEDICAID 02899594
New York Other 7467450

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