Active NPI
Community Mainstreaming Associates, Inc.
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Dix Hills, NY
National Provider Identifier
1184166274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- COMMUNITY MAINSTREAMING ASSOCIATES, INC.
- Practice address
- 920 Rainbow Commons CT
Dix Hills, NY 11746-5638 - Phone
- (516) 683-0710
- NPI assigned
- Nov 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Eileen Egan
- Title
- Executive Director
- Phone
- (516) 680-3710
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | NY | Primary |
Addresses
Primary practice location
920 Rainbow Commons CT
Dix Hills, NY 11746-5638
Mailing address
1025 Old Country Rd
Suite 325
Westbury, NY 11590-5645
Phone (516) 683-0710
National Provider Directory
National Provider DirectoryLocations
1025 Old Country Rd
Ste 325
Westbury, NY 11590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485907200000",
"number": "1184166274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 OLD COUNTRY RD",
"address_2": "SUITE 325",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115905645",
"telephone_number": "516-683-0710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 RAINBOW COMMONS CT",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465638",
"telephone_number": "516-683-0710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY MAINSTREAMING ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-07",
"last_updated": "2017-02-01",
"status": "A",
"authorized_official_last_name": "EGAN",
"authorized_official_first_name": "EILEEN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "516-680-3710",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dix Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.