St.Dominic'S Home,Inc

LBN: St.Dominic'S Home,Inc
St.Dominic'S Home,Inc is an health care organization with primary practice located at 500 Western Hwy , Blauvelt NY 10913-2000. The organization recently has only one registered license in Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. St.Dominic'S Home,Inc can be contacted via phone (845) 359-3400, or through Kydon, Judith D via phone (845) 359-3400.

Contact Information

Primary practice address
500 Western Hwy Blauvelt NY 10913-2000
Phone: (845) 359-3400
Fax: (845) 359-4253
Website:
Map and Directions
Authorized official contact:
Name: Kydon, Judith D Master of Education (MED)
Phone: (845) 359-3400

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X RSP22280 New York

Profile Details

NPI number 1417905548
LBN Legal business name St.Dominic'S Home,Inc
DBA Doing business as
Authorized official Kydon, Judith D Master of Education (MED)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1417905548 NPPES
New York MEDICAID 02596490

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