Living Resources Corporation
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Castleton on Hudson, NY
NPI 1417023789 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1417023789
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- Legal business name
- LIVING RESOURCES CORPORATION
- Practice address
- 2259 Old Post Rd N
Castleton on Hudson, NY 12033-9561 - Phone
- (518) 479-3760
- Fax
- (518) 479-7284
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Fredrick William Erlich
- Title
- Executive Director
- Phone
- (518) 346-8888
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Living Resources Corporation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Yes |
Addresses
Primary practice location
2259 Old Post Rd N
Castleton on Hudson, NY 12033-9561
Mailing address
2176 Guilderland Ave
Schenectady, NY 12306-4403
Phone (518) 346-8888
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01059109 | Medicaid | NY |
Other providers in Castleton on Hudson, NY
- Shawn Bradley Jeune
- John M. Edwards, D.C., P.C.
- Amanda Kerbein
- Kristin Knauf
- Lisa Levine
- Laura Ann Locmajian
- Philip Thomas Rodgers Macruari
- Courtney Elizabeth McDowell
- Katelynn McGuire
- Amy Lynn Mihalek
All providers in Castleton on Hudson, NY · Intellectual Disabilities Intermediate Care Facility in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.