Vivid Imagination Station LLC
Early Intervention Provider Agency in Staten Island, New York
1033954227- Practice location
- 216 Justin Ave, Staten Island, NY 10306-3744
- Phone
- 718-730-4442
- Fax
- —
- Last updated
- July 1, 2024
Vivid Imagination Station LLC is a healthcare organization based in Staten Island, NY. Vivid Imagination Station LLC practices in Staten Island, NY. The NPI Number for Vivid Imagination Station LLC is 1033954227. The current practice location address for Vivid Imagination Station LLC is 216 Justin Ave, Staten Island, NY 10306-3744 and can be reached out via phone at 718-730-4442.
Provider Profile Details
- NPI Number
- 1033954227
- Provider Name
- Vivid Imagination Station LLC
- Provider Entity Type
- Organization
- Address
- 216 Justin Ave, Staten Island, NY 10306-3744
- Phone Number
- 718-730-4442
- Primary Taxonomy
- Early Intervention Provider Agency · 252Y00000X
- Organization Subpart
- No
- Authorized Official
- Irena Bilous · Special Education · 718-730-4442
- Provider Enumeration Date
- June 28, 2024
- Last Update Date
- July 1, 2024
- Certification Date
- July 1, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 216 Justin Ave
Staten Island, NY 10306-3744 - City
- Staten Island
- State
- New York
- Zip
- 10306-3744
- Phone Number
- 718-730-4442
Provider Business Mailing Address Details
- Address
- 216 Justin Ave
Staten Island, NY 10306-3744 - City
- Staten Island
- State
- NY
- Zip
- 10306-3744
- Phone Number
- 718-730-4442
License Information
- Taxonomy
- Early Intervention Provider Agency · 252Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Vivid Imagination Station LLC?
The NPI number of Vivid Imagination Station LLC is 1033954227. It was assigned on June 28, 2024 and is currently active in the NPPES registry.
What is the specialty of Vivid Imagination Station LLC?
Vivid Imagination Station LLC is registered under the primary taxonomy Early Intervention Provider Agency (code 252Y00000X).
Where does Vivid Imagination Station LLC practice?
The practice location is 216 Justin Ave, Staten Island, NY 10306-3744. The office can be reached at 718-730-4442 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033954227 directly on the NPPES registry website.