NPIMap

Organization Active NPI

Little Flower Children & Family Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Wading River, NY
National Provider Identifier
1104047273
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
LITTLE FLOWER CHILDREN & FAMILY SERVICES
Practice address
2450 N Wading River Rd
Wading River, NY 11792-1402
Phone
(631) 929-6200
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kevin Kundmueller
Title
Cfo
Phone
(631) 929-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

2450 N Wading River Rd
Wading River, NY 11792-1402

Mailing address

2450 N Wading River Rd
Wading River, NY 11792-1402
Phone (631) 929-6200

Other identifiers 1

IdentifierTypeStateIssuer
02320107MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Little Flower Children Family Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2450 N Wading River Rd
Wading River, NY 11792
Phone (631) 929-6200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104047273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 N WADING RIVER RD",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117921402",
            "telephone_number": "631-929-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 N WADING RIVER RD",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117921402",
            "telephone_number": "631-929-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE FLOWER CHILDREN & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUNDMUELLER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "631-929-6200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02320107",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wading River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.