NPIMap

Organization Active NPI

Iri: Innovative Resources for Independence

  • Intellectual Disabilities Intermediate Care Facility
  • Richmond Hill, NY
National Provider Identifier
1801014634
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
IRI: INNOVATIVE RESOURCES FOR INDEPENDENCE
Practice address
10108 Park LN S
Richmond Hill, NY 11418-1146
Phone
(718) 805-6796
Fax
(718) 805-4211
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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

Authorized official

Name
Mr. James Magalee
Title
Associate Executive Dir. of Admin.
Phone
(718) 805-6796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

10108 Park LN S
Richmond Hill, NY 11418-1146

Mailing address

112-40 Francis Lewis Blvd.
2ND Floor
Queens Village, NY 11429-2235
Phone (718) 805-6796

Other identifiers 1

IdentifierTypeStateIssuer
01373404MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Iri Innovative Resources for Independence4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

11240 Francis Lewis Blvd
#2
Queens Village, NY 11429

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1801014634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112-40 FRANCIS LEWIS BLVD.",
            "address_2": "2ND FLOOR",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114292235",
            "telephone_number": "718-805-6796",
            "fax_number": "718-776-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10108 PARK LN S",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181146",
            "telephone_number": "718-805-6796",
            "fax_number": "718-805-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRI: INNOVATIVE RESOURCES FOR INDEPENDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "MAGALEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "ASSOCIATE EXECUTIVE DIR. OF ADMIN.",
        "authorized_official_telephone_number": "718-805-6796",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01373404",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.