Park House Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

PARK HOUSE INC

Practice address

191 Sweet Hollow Rd
Old Bethpage, NY 11804-1342

Phone

(516) 870-1643

Fax

(516) 870-1671

NPI assigned

Oct 24, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Craig W Meyer

Title

Assistant Controller

Phone

(516) 870-1643

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1760635536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 SWEET HOLLOW RD",
            "city": "OLD BETHPAGE",
            "state": "NY",
            "postal_code": "118041342",
            "telephone_number": "516-870-1643",
            "fax_number": "516-870-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 SWEET HOLLOW RD",
            "city": "OLD BETHPAGE",
            "state": "NY",
            "postal_code": "118041342",
            "telephone_number": "516-870-1643",
            "fax_number": "516-870-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ASSISTANT CONTROLLER",
        "authorized_official_telephone_number": "516-870-1643",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01304136",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naomi Gittler Speech-Language Pathology
• Nicola Netto
• Jordyn Norman, LMSW
• Michelle Lauren Nucci, MSED
• Inna Oganesian, SLP
• Deborah Perricelli, LMT
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• Meredith Tracy Radisch, MS, RDN, CDN
• Lena M Rapisarda, MS SPECIAL EDUCATION
• Rides Unlimited of New York

• All providers in Old Bethpage, NY
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.