BROOME DEVELOPMENTAL CENTER (NPI# 1689875809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689875809 |
| Entity Type | Organization |
| Organization Name | BROOME DEVELOPMENTAL CENTER |
| Practice Address |
249 Glenwood Rd Binghamton NY 13905-1603 |
| Practice Telephone | 6077700348 |
| Mailing Telephone | 6077700348 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2008-06-20 |
| Authorized Official Name | DR. MANGALA PUTTANIAH (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6077700348 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 006396-1 | NY | Nursing & Custodial Care Facilities |
| Street Address |
249 GLENWOOD RD |
| City | BINGHAMTON |
| State | NY |
| Zip Code | 13905-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770547051 | Kevin Hawley | Physical Therapist | 249 Glenwood Rd, Binghamton, NY 13905-1603 | 2006-04-14 |
| 1235748260 | Cassaundra Murray | Psychologist | 249 Glenwood Rd, Binghamton, NY 13905-1603 | 2020-07-27 |
| 1215587407 | Kristen Renee Fallon | Physical Therapy Assistant | 249 Glenwood Rd, Binghamton, NY 13905-1603 | 2019-09-19 |
| 1053895656 | Angela Marie Ray | Physical Therapy Assistant | 249 Glenwood Rd, Binghamton, NY 13905-1603 | 2018-09-19 |
| 1538676226 | Joseph Sullivan Edward Sullivan | Physical Therapy Assistant | 249 Glenwood Rd, Binghamton, NY 13905-1603 | 2018-01-04 |
| 1750837340 | Valerie Perkoski | Dietitian, Registered | 249 Glenwood Rd, Binghamton, NY 13905-1603 | 2016-09-01 |
| 1497114227 | Paula Millard | Occupational Therapist | 249 Glenwood Rd, Binghamton, NY 13905-1603 | 2016-02-22 |
| 1831558691 | Darlene Childress | Physical Therapy Assistant | 249 Glenwood Rd, Binghamton, NY 13905-1603 | 2016-02-22 |
| 1952760761 | Valentina Poroutchnik | Physical Therapy Assistant | 249 Glenwood Rd, Binghamton, NY 13905-1603 | 2016-02-22 |
| 1770942666 | Karen Mckissick | Speech-Language Pathologist | 249 Glenwood Rd, Binghamton, NY 13905-1603 | 2016-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689222820 | Pamela K Wheaton | Counselor | 40 Front Sreet, Suite K, Binghamton, NY 13905 | 2019-08-30 |
| 1417422593 | Justin William Arnold | Massage Therapist | 1235 Front St, Suite 4, Binghamton, NY 13905 | 2018-10-04 |
| 1366886632 | Lalor Family Dental Pllc | Dentist | 1216 Upper Front Street, Binghamton, NY 13905 | 2013-04-17 |
| 1699015172 | Radharani Mohanty | Pediatrics | 1 Ely Park Blvd - M4, Binghamton, NY 13905 | 2013-02-21 |
| 1710260344 | Michelle L. Rease | Registered Nurse | 40 Front St. Suite C, C/o Riverside Anesthesia, Binghamton, NY 13905 | 2011-09-20 |
| 1508173337 | John D Newman | Registered Nurse | 169 Riverside Dr., Our Lady of Lourdes Hospital, Binghamton, NY 13905 | 2010-08-31 |
| 1073758330 | Jennifer Lynn Kolesar | Pharmacist | Cvs Pharmacy 68 Main St., Binghamton, NY 13905 | 2008-12-15 |
| 1245355155 | Tara Jayant Belsare | Psychiatry & Neurology | 38 Riverside Drive, Binghamton, NY 13905 | 2007-03-20 |
| 1659411866 | State of New York | Intermediate Care Facility, Mentally Retarded | Glenwood Rd, Binghamton, NY 13905 | 2007-02-07 |
| 1528133956 | Judith Tanzer | Social Worker | 35 Front Street, Binghamton, NY 13905 | 2006-11-21 |
| Find all providers in zip 13905 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679136626 | Savitri Singh, Md P.C. | Nursing Facility/Intermediate Care Facility | 479 Deer Park Ave, Babylon, NY 11702-1922 | 2019-04-16 |
| 1962964841 | Sapphire Hc, LLC | Nursing Facility/Intermediate Care Facility | 620 Sleepy Hollow Rd, Briarcliff Manor, NY 10510-2516 | 2019-04-01 |
| 1013441328 | Caring Hands Home Care | Nursing Facility/Intermediate Care Facility | 65 Cheryl Drive, Ronkonkoma, NY 11779 | 2017-04-13 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1861944167 | Sabine Valme | Nursing Facility/Intermediate Care Facility | 929 E 87th St, Brooklyn, NY 11236-3908 | 2016-11-03 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| 1164885166 | Independent Group Home Living Program Inc | Nursing Facility/Intermediate Care Facility | 908 Melville Estates, Melville, NY 11747 | 2016-03-29 |
| 1992186712 | Nicole Harris | Nursing Facility/Intermediate Care Facility | 132 Willow Avenue, Newark, NY 14513 | 2015-06-17 |
| 1417338005 | Hotel Benefit Funds | Nursing Facility/Intermediate Care Facility | 625 Main St Apt 1432, New York, NY 10044-0036 | 2015-06-09 |
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| City | BINGHAMTON |
| Zip Code | 13905 |
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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.