MISSION OF THE IMMACULATE (NPI# 1750570495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750570495 |
| Entity Type | Organization |
| Organization Name | MISSION OF THE IMMACULATE |
| Practice Address |
6581 Hylan Blvd Staten Island NY 10309-3830 |
| Practice Telephone | 7183172803 |
| Practice Fax Number | 7183172830 |
| Mailing Telephone | 7183172803 |
| Mailing Fax Number | 7183172830 |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-10-18 |
| Authorized Official Name | MR. STEPHEN W RYNN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7183172803 |
| 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 | 7943430 | NY | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02002633 | 05 | |
| NY | 02253478 | 05 | |
| NY | 01102721 | 05 | |
| NY | 02700118 | 05 |
| Street Address |
6581 HYLAN BLVD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10309-3830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275758708 | Jennifer Sue Rachman | Social Worker | 6581 Hylan Blvd, Staten Island, NY 10309-3830 | 2007-04-17 |
| 1437790847 | Courtney Froner | Speech-Language Pathologist | 6581 Hylan Blvd, Staten Island, NY 10309-3830 | 2019-10-07 |
| 1205304649 | Shira Marvet | Occupational Therapist | 6581 Hylan Blvd, Staten Island, NY 10309-3830 | 2018-11-03 |
| 1780127134 | Reena Ribalt | Speech-Language Pathologist | 6581 Hylan Blvd, Staten Island, NY 10309-3830 | 2016-12-02 |
| 1023377413 | Cristina M. Katz | Speech-Language Pathologist | 6581 Hylan Blvd, Building 24, Staten Island, NY 10309-3830 | 2012-05-07 |
| 1538435995 | Christine M Sliwa | Registered Nurse | 6581 Hylan Blvd, Staten Island, NY 10309 | 2012-03-29 |
| 1801160817 | Regina Dazzo Fogel | Registered Nurse | 6581 Hylan Blvd, Staten Island, NY 10309-3830 | 2012-03-08 |
| 1639495062 | Carol S. Halfhide-torres | Social Worker | 6581 Hylan Blvd, Staten Island, NY 10309-3830 | 2010-04-09 |
| 1013166099 | Dolores Catalfumo | Social Worker | 6581 Hylan Blvd, Staten Island, NY 10309-3830 | 2008-09-15 |
| 1982886958 | Mission of The Immaculate Virgin | Case Management | 6581 Hylan Blvd, Staten Island, NY 10309-3830 | 2007-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154816650 | Nikki Schechter | Occupational Therapist | 3495 Richmond Road, Staten Island, NY 10309 | 2018-06-27 |
| 1659878213 | Pauline Izzo | Nurse Practitioner | 544 Darlington Ave, Staten Island, NY 10309 | 2018-04-10 |
| 1053822544 | Dufort Psychological Services Pllc | Psychologist | 401 Bloomingdale Rd Suite 6, Staten Island, NY 10309 | 2017-10-24 |
| 1902324361 | Anthony Orefice | Home Health | 55 Robin Ct, 1 St Floor, Staten Island, NY 10309 | 2017-09-06 |
| 1770007767 | Graceann Cotroneo | Specialist | 61 Plumtree Lane, 1st Fl, Staten Island, NY 10309 | 2017-08-01 |
| 1477075836 | Matthew Jordan Levine | Specialist | 15 Redwood Loop, Staten Island, NY 10309 | 2017-07-07 |
| 1619339256 | Empire Vision Center, Inc. | Eyewear Supplier (Equipment, not the service) | 205 Bricktown Way, Ste A, Staten Island, NY 10309 | 2016-03-23 |
| 1295109692 | Danielle Kinsman | Early Intervention Provider Agency | 1007 Edgegrove Avenue, Staten Island, NY 10309 | 2015-11-23 |
| 1811363591 | Daniella Aryeh | Speech-Language Pathologist | 997 Stafford Avenye, Staten Island, NY 10309 | 2015-08-17 |
| 1649652058 | Visions By Victoria Rose Ltd. | Technician/Technologist | 639 Veterans Road West, Suite 5(e), Staten Island, NY 10309 | 2015-06-22 |
| Find all providers in zip 10309 | ||||
| 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 |
|---|---|---|---|---|
| 1770759086 | A Very Special Place, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1429 Hylan Blvd, Staten Island, NY 10305-1904 | 2008-05-06 |
| 1306024658 | Ahrc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 617 Hunter Ave, Staten Island, NY 10306-5940 | 2008-02-07 |
| 1144423062 | Staten Island Developmental Disabilities Services Office | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1150 Forest Hill Rd, Staten Island, NY 10314-6316 | 2007-06-07 |
| 1770780082 | Darlene Popadin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 178 Morrison Ave, Staten Island, NY 10310-2835 | 2007-06-29 |
| 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 |
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| City | STATEN ISLAND |
| Zip Code | 10309 |
Please comment or provide details below to improve the information on MISSION OF THE IMMACULATE.
| 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.