INSTITUTE FOR COMMUNITY LIVING , INC.


Address: 13607 Brookville Blvd, Rosedale, NY 11422-1525
Phone: 7188557485

INSTITUTE FOR COMMUNITY LIVING , INC. (NPI# 1427105857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427105857
Entity Type Organization
Organization Name INSTITUTE FOR COMMUNITY LIVING , INC.
Practice Address 13607 Brookville Blvd
Rosedale
NY 11422-1525
Mailing Address 136 Rockville Blvd
Rosedale
NY 11422-0000
Practice Telephone 7188557485
Mailing Telephone 7188557485
Enumeration Date 2007-01-05
Last Update Date 2020-08-22
Authorized Official Name MRS. RENIE ELIZABETH MARIE RONDON JACKSON (CLINIC DIRECTOR)
Authorized Official Telephone 7188557485
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 057800 NY Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1558494930 Institute for Community Living, Inc. Community/Behavioral Health 2581 Atlantic Ave, Brooklyn, NY 11207 2007-03-14

Office Location

Street Address 13607 BROOKVILLE BLVD
City ROSEDALE
State NY
Zip Code 11422-1525

Providers in the same zip code

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1447791116 Home Companion Services,inc. In Home Supportive Care 25311 147th Dr, Rosedale, NY 11422 2017-03-15
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1194277491 Kettely Francois Nurse Practitioner 149-86 253 Rd Street, Rosedale, NY 11422 2016-11-03
1578019410 Maureen Mckenzie Registered Nurse 241-25 148th Drive, Rosedale, NY 11422 2016-08-31
1386097657 A Touch That Cares Home Services Home Health 13891 Francis Lewis Blvd, Rosedale, NY 11422 2016-07-21
1093160293 Regine St. Leger Registered Nurse 128-07 236th Street, Rosedale, NY 11422 2016-04-26
1942664115 Raising In The Sun, Ltd Early Intervention Provider Agency 257-04 149th Avenue, Rosedale, NY 11422 2016-04-13
1740656958 Jaelle Jeudy Licensed Practical Nurse 243-59 Mayda Rd, Rosedale, NY 11422 2015-08-12
1851785380 Elizabeth Madison Nutrition, Pllc Clinic/Center 13333 Brookville Boulevard, Suite 229c, Rosedale, NY 11422 2015-03-23
1659763894 Leonard Barrett Nutritionist 220 01 Jamaica Av., Queens, NY 11422 2015-02-25
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053733378 Thrive Behavioral Health, LLC Community/Behavioral Health 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 2014-01-07
1700108552 Family Presrvation Services, Inc Community/Behavioral Health 19 Hayters Gap Road, Rosedale, VA 24280 2010-02-22
1528380375 Family Preservation Services, Inc. Community/Behavioral Health 911 # Highway 19/belfast School Road, Rosedale, VA 24280 2010-02-22
1083940407 United People of Learning Services Community/Behavioral Health 14506 243rd St, 220181, Rosedale, NY 11422-2411 2009-10-19
1871139741 Strengthening Families Building Communities Community/Behavioral Health 8307 Philadelphia Rd, Rosedale, MD 21237-2961 2019-11-26
1801366604 Thrive Behavioral Health, LLC Community/Behavioral Health 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237-4157 2018-12-05
1417110578 Community Behavioral Services Inc Community/Behavioral Health 8967 Yellow Brick Rd, Rosedale, MD 21237-2303 2008-07-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215538152 Monette Counseling Services LLC Community/Behavioral Health 159 Margaret St Ste 225, Plattsburgh, NY 12901-1874 2020-11-06
1457959843 Summit Alternatives Lmsw PC Community/Behavioral Health 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 2020-10-16
1407462948 Shawn Muthersbaugh Lcsw Pllc Community/Behavioral Health 120 Defreest Dr Ste 175, Troy, NY 12180-7608 2020-09-21
1245845932 Grow Healthcare Group Pa Community/Behavioral Health 2196 3rd Ave # 20071, New York, NY 10035-3501 2020-09-10
1104439728 Andrea Brennan Licensed Mental Health Counseling, Pllc Community/Behavioral Health 245 Old Meadow Dr, Rochester, NY 14626-3548 2020-08-24
1831701630 Debra L. Terry Lcsw, P.C. Community/Behavioral Health 4 Phyllis Dr Ste G, Patchogue, NY 11772-2900 2020-08-21
1750992079 Trauma and Resiliency Resources, Inc. Community/Behavioral Health Winslow Therapeutic Center, 1433 Ny-17a, Warwick, NY 10990 2020-08-11
1598383796 Chemung-schuyler Counties Chapter, Nysarc, Inc. Community/Behavioral Health 5297 Parkside Dr Ste 304, Canandaigua, NY 14424-7504 2020-07-14
1033737895 Grow Care Inc Community/Behavioral Health 141 W 24th St Apt 5, New York, NY 10011-1958 2020-07-08
1043836943 Cornerstone Behavioral Services, LLC. Community/Behavioral Health 3670 Orchard Rd, Wantagh, NY 11793-3131 2020-06-17
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Competitor

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City ROSEDALE
Zip Code 11422

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Dataset Information

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.

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