ST. COLMAN'S HOME INC. (NPI# 1144351339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144351339 |
| Entity Type | Organization |
| Organization Name | ST. COLMAN'S HOME INC. |
| Practice Address |
11 Haswell Rd Watervliet NY 12189-1302 |
| Practice Telephone | 5182734911 |
| Practice Fax Number | 5182733312 |
| Mailing Telephone | 5182734911 |
| Mailing Fax Number | 5182733312 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MOTHER MARY CARMEL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5182734911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | VID 00A02095 | NY | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00353622 | 05 |
| Street Address |
11 HASWELL RD |
| City | WATERVLIET |
| State | NY |
| Zip Code | 12189-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382952 | Ria Thomas Chattathil | Speech-Language Pathologist | 11 Haswell Rd, Watervliet, NY 12189-1302 | 2019-05-28 |
| 1194381657 | Laurie Jean Wade | Social Worker | 11 Haswell Rd, Watervliet, NY 12189-1302 | 2019-05-10 |
| 1407321375 | Caitlin Marie Czirr | Speech-Language Pathologist | 11 Haswell Rd, Watervliet, NY 12189-1302 | 2018-10-08 |
| 1609365766 | Meryl Tremblay | Social Worker | 11 Haswell Rd, Watervliet, NY 12189-1302 | 2018-05-04 |
| 1124578141 | Annette Marie Hathaway | Occupational Therapist | 11 Haswell Rd, Watervliet, NY 12189-1302 | 2016-10-13 |
| 1295285435 | Dena-marie Iannone | Occupational Therapy Assistant | 11 Haswell Rd, Watervliet, NY 12189-1302 | 2016-10-12 |
| 1346608403 | Matthew M Castine | Social Worker | 11 Haswell Rd, Watervliet, NY 12189-1302 | 2016-02-04 |
| 1043601958 | Lindsay O'connell | Social Worker | 11 Haswell Rd, Watervliet, NY 12189-1302 | 2015-02-13 |
| 1720484785 | Rebecca Plyler | Speech-Language Pathologist | 11 Haswell Rd, Watervliet, NY 12189-1302 | 2014-11-18 |
| 1265840490 | Erin Cottrell | Speech-Language Pathologist | 11 Haswell Rd, Watervliet, NY 12189-1302 | 2014-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992173744 | Edie Harris | Home Health Aide | 358 Watervliet Shaker Rd Unit A, Watervliet, NY 12189 | 2015-09-10 |
| 1689960163 | Sharon Mahoney | Speech-Language Pathologist | 11 Haswell Road, Watervliet, NY 12189 | 2011-06-23 |
| 1427279009 | Shakil Ali Virjee | Dentist | 1533 2nd Ave, Watervliet, NY 12189 | 2007-05-01 |
| 1952466286 | Watervliet City School District | Local Education Agency (LEA) | 1245 Hillside Drive, Watervliet, NY 12189 | 2006-12-27 |
| 1083788152 | Mahendra Ganjhu | Internal Medicine | 310 23rd Street, Watervliet, NY 12189 | 2006-11-20 |
| 1871012906 | Zhaleh Laliberte Lavasani | Speech-Language Pathologist | 32 Cohoes Road, Watervliet, NY 12189 | 2017-09-09 |
| 1861917924 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1901 2nd Ave, Watervliet, NY 12189 | 2017-08-10 |
| 1952783755 | Heather Sliwinski | Early Intervention Provider Agency | 32 Cohoes Road, Achievements and Kids Express, Watervliet, NY 12189 | 2015-06-29 |
| 1699051326 | Kelly Ann Rost | Social Worker | 11 Haswell Road, Watervliet, NY 12189 | 2011-10-26 |
| 1861585168 | Gattu N Rao | Surgery | 815 19th Street, First Fl., Watervliet, NY 12189-0187 | 2006-10-02 |
| Find all providers in zip 12189 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356976211 | Carolyn Luguya | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 30 Waterside Plz Apt 27g, New York, NY 10010-2626 | 2020-03-11 |
| 1548701154 | Kerry Coons | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 481 Bradford Rd, Schenectady, NY 12304-3721 | 2017-03-15 |
| 1265970461 | Adults & Children W/learning & Dd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 923 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2017-02-08 |
| 1891232179 | Evelyn Douglin Center Spin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 470 Chester St, Brooklyn, NY 11212-5505 | 2017-01-25 |
| 1972049039 | Evelyn Douglin Center Spin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 163 Riverdale Ave, Brooklyn, NY 11212-5579 | 2017-01-13 |
| 1962947846 | Family Residences and Essential Enterprise, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80-45 Winchester Blvd Building #11, Family Residences and Essential Enterprises, Inc., Queens Village, NY 11427 | 2016-12-30 |
| 1508309857 | Adults & Children W/ Learning & Dd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 918 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2016-11-18 |
| 1962945212 | Adults & Children W/ Learning & Dd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 921 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2016-11-18 |
| 1962944405 | Adults & Children W/ Learning & Dd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 913 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2016-11-15 |
| 1184166274 | Community Mainstreaming Associates, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 920 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2016-11-07 |
| Find all providers with the same taxonomy | ||||
| City | WATERVLIET |
| Zip Code | 12189 |
Please comment or provide details below to improve the information on ST. COLMAN'S HOME INC..
| 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.