NPIMap

Organization Active NPI

The Devereux Foundation

  • Intellectual Disabilities Intermediate Care Facility
  • Hyde Park, NY
National Provider Identifier
1811048077
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
8275440 Issued in NY
Legal business name
THE DEVEREUX FOUNDATION
Practice address
414 Gretna Rd
Hyde Park, NY 12538-2749
Phone
(845) 758-1899
Fax
(845) 758-0675
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
Mr. John O'Keefe
Title
Executive Director
Phone
(845) 758-1899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 8275440 NY Primary

Addresses

Primary practice location

414 Gretna Rd
Hyde Park, NY 12538-2749

Mailing address

40 Devereux Way
Red Hook, NY 12571-2268
Phone (845) 758-1899

Other identifiers 1

IdentifierTypeStateIssuer
01226017MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Devereux Florida331 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 7

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

40 Devereux Way
Red Hook, NY 12571
Phone (845) 758-1899

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1811048077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 DEVEREUX WAY",
            "city": "RED HOOK",
            "state": "NY",
            "postal_code": "125712268",
            "telephone_number": "845-758-1899",
            "fax_number": "845-758-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 GRETNA RD",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125382749",
            "telephone_number": "845-758-1899",
            "fax_number": "845-758-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DEVEREUX FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "O'KEEFE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "845-758-1899",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NY",
            "license": "8275440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01226017",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.