CMS-1500 Box 24J / 33a • NPI
1174770291
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
310500000X
Licensed & Credentialed Intermediate Care Facility, Mental Illness
Box 32 Service Location & ZIP+4
901 E MAIN ST, SUITE 508, RIVERHEAD, NY, 11901-2680
✓ 9-Digit EDI 837 ZIP+4 (11901-2680)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1174770291 (AID TO THE DEVELOPMENTALLY DISABLED, INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1174770291 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | AID TO THE DEVELOPMENTALLY DISABLED, INC |
| Plain-English Specialty | Licensed & Credentialed Intermediate Care Facility, Mental Illness NUCC Code: 310500000X (Intermediate Care Facility, Mental Illness) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 901 E MAIN ST, SUITE 508, RIVERHEAD, NY, 11901-2680 |
| Practice Telephone / Fax | Tel: (631) 727-6220 | Fax: (631) 727-6553 |
| Administrative Mailing Address | 901 E MAIN ST, RIVERHEAD, NY, 11901-2680 |
| Enumeration & Last Sync | Enumerated: 2008-08-20 | CMS Record Updated: 2009-04-03 |
| Authorized Official | DONALD RIEB (Executive Director) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (310500000X)
What Does Taxonomy Code 310500000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 310500000X translates to:
"Licensed & Credentialed Intermediate Care Facility, Mental Illness"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AID TO THE DEVELOPMENTALLY DISABLED, INC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
310500000X — Intermediate Care Facility, Mental IllnessPlain English: Licensed & Credentialed Intermediate Care Facility, Mental Illness | State: NY | License: 7569731 | Primary: Secondary |
310500000X — Intermediate Care Facility, Mental IllnessPlain English: Licensed & Credentialed Intermediate Care Facility, Mental Illness | State: NY | License: 7569430 | Primary: Secondary |
310500000X — Intermediate Care Facility, Mental IllnessPlain English: Licensed & Credentialed Intermediate Care Facility, Mental Illness | State: NY | License: 7569433 | Primary: Secondary |
310500000X — Intermediate Care Facility, Mental IllnessPlain English: Licensed & Credentialed Intermediate Care Facility, Mental Illness | State: NY | License: 7569432 | Primary: Secondary |
310500000X — Intermediate Care Facility, Mental IllnessPlain English: Licensed & Credentialed Intermediate Care Facility, Mental Illness | State: NY | License: 7569435 | Primary: Secondary |
310500000X — Intermediate Care Facility, Mental IllnessPlain English: Licensed & Credentialed Intermediate Care Facility, Mental Illness | State: NY | License: 7569434 | Primary: Secondary |
310500000X — Intermediate Care Facility, Mental IllnessPlain English: Licensed & Credentialed Intermediate Care Facility, Mental Illness | State: NY | License: 7569431 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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