NPIMap

Organization Active NPI

Sco Family of Services

  • Mental Illness Intermediate Care Facility
  • Glen Cove, NY
National Provider Identifier
1396809273
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
Legal business name
SCO FAMILY OF SERVICES
Practice address
1 Alexander PL
Glen Cove, NY 11542-3745
Phone
(516) 759-1844
Fax
(516) 759-6921
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Authorized official

Name
Douglas O'Dell
Title
Ceo
Phone
(516) 671-1253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X Primary

Addresses

Primary practice location

1 Alexander PL
Glen Cove, NY 11542-3745

Mailing address

1 Alexander PL
Glen Cove, NY 11542-3745
Phone (516) 759-1844

Other identifiers 1

IdentifierTypeStateIssuer
01024648MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Sco Family of Services16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1396809273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ALEXANDER PL",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115423745",
            "telephone_number": "516-759-1844",
            "fax_number": "516-759-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ALEXANDER PL",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115423745",
            "telephone_number": "516-759-1844",
            "fax_number": "516-759-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCO FAMILY OF SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "O'DELL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-671-1253"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01024648",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.