NPIMap

Organization Active NPI

Camp Venture

  • Intellectual Disabilities Intermediate Care Facility
  • Nanuet, NY
National Provider Identifier
1821166976
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
CAMP VENTURE
Practice address
100 Convent Rd
Nanuet, NY 10954-3106
Phone
(845) 624-5322
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Daniel Lukens
Title
Executive Director
Phone
(845) 624-5324

Specialties & licenses 1

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

Addresses

Primary practice location

100 Convent Rd
Nanuet, NY 10954-3106

Mailing address

25 Smith St
Suite 512
Nanuet, NY 10954-2912

Other identifiers 1

IdentifierTypeStateIssuer
00546034MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Camp Venture Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Locations

100 Convent Rd
Nanuet, NY 10954
Phone (845) 624-5322

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821166976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SMITH ST",
            "address_2": "SUITE 512",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CONVENT RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543106",
            "telephone_number": "845-624-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP VENTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUKENS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "845-624-5324"
    },
    "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": "00546034",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.