COMMUNITY RESOURCE CENTER FOR THE DEVELOPMENTALLY DISABLED, INC. (NPI# 1033270665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033270665 |
| Entity Type | Organization |
| Organization Name | COMMUNITY RESOURCE CENTER FOR THE DEVELOPMENTALLY DISABLED, INC. |
| Practice Address |
603 Morris Avenue Bronx NY 10451 |
| Mailing Address |
378 E 151st St Bronx NY 10455-2603 |
| Practice Telephone | 7182921705 |
| Mailing Telephone | 7182921705 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-10-11 |
| Authorized Official Name | MR. KEVIN M MEADE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7182921705 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00813103 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376604553 | Community Resource Center for The Developmentally Disabled, Inc. | Intermediate Care Facility, Mental Illness | 755 E 147th St, Bronx, NY 10455-4592 | 2006-12-12 |
| 1538247812 | Community Resource Center for The Developmentally Disabled, Inc. | Intermediate Care Facility, Mental Illness | 2021 Eastchester Rd, Bronx, NY 10461-2250 | 2006-11-02 |
| 1366504045 | Community Resource Center for The Developmentally Disabled, Inc. | Intermediate Care Facility, Mental Illness | 245 E 149th St, Bronx, NY 10451-5516 | 2006-12-15 |
| 1336208768 | Community Resource Center for The Developmentally Disabled, Inc. | Intermediate Care Facility, Mental Illness | 245 E 149th St, Bronx, NY 10451-5516 | 2006-12-08 |
| 1689733008 | Community Resource Center for The Developmentally Disabled, Inc. | Intermediate Care Facility, Mental Illness | 2253 3rd Ave, New York, NY 10035-2206 | 2006-12-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | COMMUNITY RESOURCE CENTER FOR THE DEVELOPMENTALLY DISABLED, INC. | 1776 Eastchester Rd. Suite 225, Bronx, New York 10461 |
| Street Address |
603 MORRIS AVENUE |
| City | BRONX |
| State | NY |
| Zip Code | 10451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221426 | Milena Boursiquot | Counselor | 240 Walton Ste 2n, Bronx, NY 10451 | 2020-10-08 |
| 1467065466 | Armghan Azhar Azhar Munir | Student in an Organized Health Care Education/Training Program | Lincoln Medical Center, 234 E149th St, New York City, NY 10451 | 2020-08-28 |
| 1013529486 | Ariane Tapang Yangco | Student in an Organized Health Care Education/Training Program | 234 East 149th St., Lincoln Medical and Mental Center, Internal Medicine De, New York, NY 10451 | 2020-08-18 |
| 1134730377 | Sherida N Edding | Student in an Organized Health Care Education/Training Program | 234 E 149th Street, Bronx, New York City, NY 10451 | 2020-08-12 |
| 1922617646 | Tian Fang Yu | Student in an Organized Health Care Education/Training Program | 234 E 149th St., The Bronx, NY 10451 | 2020-07-28 |
| 1659998037 | Amnah Khalid | Student in an Organized Health Care Education/Training Program | 234 East 149st, 820, Bronx, NY 10451 | 2020-07-01 |
| 1871116277 | Sebastian Andres Gandarillas Fraga | Student in an Organized Health Care Education/Training Program | 234 E. 149 Street, Suite 820, New York, NY 10451 | 2020-05-20 |
| 1285257642 | Javier Alejandro Castro Valenzuela | Student in an Organized Health Care Education/Training Program | 243 East 149th Street, Suite 4-20, The Bronx, NY 10451 | 2020-05-20 |
| 1992331482 | Montefiore Medical Center | Clinic/Center | 250 Thurman Munson Way #236, Bronx, NY 10451 | 2020-03-17 |
| 1235761958 | Kellie Gevon Mcfarlane | Psychologist | Lincoln Hospital, Child Adolescent Psychiatric Services, 234 East 149th Street, Floor 4a, Room 4-83, Bronx, NY 10451 | 2020-02-11 |
| Find all providers in zip 10451 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376604553 | Community Resource Center for The Developmentally Disabled, Inc. | Intermediate Care Facility, Mental Illness | 755 E 147th St, Bronx, NY 10455-4592 | 2006-12-12 |
| 1538247812 | Community Resource Center for The Developmentally Disabled, Inc. | Intermediate Care Facility, Mental Illness | 2021 Eastchester Rd, Bronx, NY 10461-2250 | 2006-11-02 |
| 1366504045 | Community Resource Center for The Developmentally Disabled, Inc. | Intermediate Care Facility, Mental Illness | 245 E 149th St, Bronx, NY 10451-5516 | 2006-12-15 |
| 1336208768 | Community Resource Center for The Developmentally Disabled, Inc. | Intermediate Care Facility, Mental Illness | 245 E 149th St, Bronx, NY 10451-5516 | 2006-12-08 |
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|---|---|---|---|---|
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| 1871037648 | Citizens Options Unlimited Inc | Intermediate Care Facility, Mental Illness | 919 Rainbow Commons Court, Melville, NY 11747-9001 | 2016-12-13 |
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| 1326400631 | Qsac, Inc | Intermediate Care Facility, Mental Illness | 901 Melville Estates Ct, Melville, NY 11747-2827 | 2016-03-25 |
| 1225317266 | Easter Seals New York, Inc. | Intermediate Care Facility, Mental Illness | 304 Daley Blvd, Rochester, NY 14617 | 2011-08-09 |
| 1407135445 | Easter Seals New York, Inc. | Intermediate Care Facility, Mental Illness | 404 Rogers Pkwy, Rochester, NY 14617 | 2011-08-09 |
| 1316226350 | Easter Seals of Ny, Inc | Intermediate Care Facility, Mental Illness | 302 Daley Boulevard, Rochester, NY 14617 | 2011-08-09 |
| 1114213824 | Gotham | Intermediate Care Facility, Mental Illness | 116 John St., New York, NY 10038-3414 | 2011-06-21 |
| 1215240403 | Nassau County Association for The Help of Retarded Citizens Inc | Intermediate Care Facility, Mental Illness | 980 Washington Ave., House D, Plainview, NY 11803 | 2010-07-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.