NPIMap

Organization Active NPI

Alhambra Residence

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Huntington Station, NY
National Provider Identifier
1912028697
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
6186442 Issued in NY
Legal business name
ALHAMBRA RESIDENCE
Practice address
3 Forest PL
Huntington Station, NY 11746-3010
Phone
(631) 665-3434
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Edwin M Kennedy
Title
Cfo
Phone
(516) 733-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 6186442 NY Primary

Addresses

Primary practice location

3 Forest PL
Huntington Station, NY 11746-3010

Mailing address

3 Forest PL
Huntington Station, NY 11746-3010
Phone (631) 665-3434

Other identifiers 1

IdentifierTypeStateIssuer
02245930MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities of the Diocese of Rockville Centre26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1912028697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FOREST PL",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463010",
            "telephone_number": "631-665-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 FOREST PL",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463010",
            "telephone_number": "631-665-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALHAMBRA RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "516-733-7000"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "6186442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02245930",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.