SERVICES FOR THE UNDERSERVED , NPI 1619140241 — NEW YORK (NY)

NPI 1619140241

12+ Years Experience Organization

SERVICES FOR THE UNDERSERVED

04.03.2008
PROVIDER ENUMERATION DATE
04.03.2008
LAST UPDATE DATE
1619140241
NPI NUMBER

About SERVICES FOR THE UNDERSERVED

SERVICES FOR THE UNDERSERVED is a provider established in NEW YORK, NY. The NPI number of SERVICES FOR THE UNDERSERVED is 1619140241 and was assigned on 04.03.2008. The practitioners primary taxonomy code is: 320600000X .

Mailing address

  • City: NEW YORK
  • State: NY
  • Postal code: 100016008
  • Address: 305 7TH AVE

Primary Practice Address

  • Region : NEW YORK, NY
  • NPI : 1619140241
  • Phone : 9174081611
  • Postalcode : 100016008
  • Address : 305 7TH AVE

Provider taxonomy - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

  • Taxonomy code: 320600000X

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: 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.

Contacts:

Click to Show Map
  • SERVICES FOR THE UNDERSERVED
  • Address : 305 7TH AVE
  • Region : NEW YORK, NY
  • NPI : 1619140241
  • Phone : 9174081611
  • Postalcode : 100016008

Authorized official :

{:AUTHORIZED_OFFICIAL_FIRST_NAME:} {:AUTHORIZED_OFFICIAL_MIDDLE_NAME:} {:AUTHORIZED_OFFICIAL_LAST_NAME:}
  • Phone : 9174081611
  • Title or position : AR SPERVISOR

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address305 7TH AVE
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameNEW YORK
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNY
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code100016008
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number9174081611
The telephone number associated with the location address of the provider being identified.
NPI1619140241
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1320600000X
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.
Provider Enumeration Date04.03.2008
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated04.03.2008
The date that a record was last updated or changed.
Entity TypeOrganization
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Organization SubpartN
The "Is the organization a subpart?" question must be answered. If the organization is a subpart, the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. Many organization health care providers who apply for NPIs are not legal entities themselves but are parts of other organization health care providers that are legal entities (the "parents"). Here are three examples of organization health care providers that may be considered subparts and may apply for NPIs if so directed by their "parents": (1) The psychiatric unit in a hospital is not a legal entity but is part of the hospital (the "parent"), which is a legal entity. The legal entity must obtain an NPI. The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. (2) A group practice that is not a sole proprietorship has a main location and could have other offices in different locations, but each office is not a separate legal entity; instead, each office is part of the corporation (the "parent") which is a legal entity. The offices are examples of subparts that could have their own NPIs if the main location determines that they should. (3) A pharmacy fills prescriptions for patients whose physicians have prescribed medications for them and may also rent or sell durable medical equipment to patients whose physicians have ordered such equipment for them. Neither the pharmacy line of business nor the DME line of business represent legal entities; instead, both lines of business are part of an organization (the "parent") that is a legal entity. Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. The "parent"-we don"t know who the parent is in this example-must ensure that each subpart that submits its own claims to health plans has its own NPI.
Provider Organization Name (Legal Business Name)SERVICES FOR THE UNDERSERVED
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address305 7TH AVE
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameNEW YORK
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameNY
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code100016008
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Authorized Official Last NameBACCHUS
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameLYNETTE
The first name of the authorized official
Authorized Official Title or PositionAR SPERVISOR
The title or position of the authorized official
Authorized Official Name Prefix TextMRS.
Authorized Official Name Prefix Text
Authorized Official Telephone Number9174081611
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code #1320600000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Residential 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.
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
X

Share this page?