West Nassau Community Residence in Mineola - Community Based Residential Treatment Facility, Mental Illness
West Nassau Community Residence - NPI 1568619294
West Nassau Community Residence is a Community Based Residential Treatment Facility, Mental Illness in Mineola, New York. West Nassau Community Residence practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for West Nassau Community Residence is 1568619294. The last update date is 2008-08-25.
West Nassau Community Residence's current location address is 100 E Old Country Rd, Mineola, New York. You can contact this provider via phone number 5167450350 and fax number 5168771305. The mailing address for West Nassau Community Residence is 100 E Old Country Rd, Mineola, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Nassau Community Residence |
|---|---|
| Address | 100 E Old Country Rd, Mineola, New York |
| Phone Number | 5167450350 |
| Fax Number | 5168771305 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Vassallo Mary Ann |
| Telephone Number | 5167460350 |
NPI Number Detail
| NPI Number | 1568619294 |
|---|---|
| Provider Enumeration Date | 2008-08-25 |
| Last Updated Date | 2008-08-25 |
Provider Mailing Address Detail
| Address | 100 E Old Country Rd |
|---|---|
| City | Mineola |
| State | New York (NY) |
| Post Code | 115014633 |
| Phone Number | 5167450350 |
| Fax Number | 5168771305 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 9206008 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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Post Comment/ Review Below
What is the West Nassau Community Residence's 1568619294?
The West Nassau Community Residence's NPI (National Provider Identifier) Number is 1568619294. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of West Nassau Community Residence?
The West Nassau Community Residence is situated at 100 E Old Country Rd, in the city of Mineola, state of NY, with the zip code 115014633.
What is West Nassau Community Residence's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for West Nassau Community Residence is Community Based Residential Treatment Facility, Mental Illness, and the taxonomy code that categorizes this field of expertise is 320800000X.
On what date did the West Nassau Community Residence receive its 1568619294 assignment from the Centers for Medicare & Medicaid Services?
The West Nassau Community Residence was assigned its 1568619294 by the Centers for Medicare & Medicaid Services on 2008-08-25.
When was the information pertaining to West Nassau Community Residence most recently updated or revised?
The details related to West Nassau Community Residence, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-25.
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