Active NPIOrganization

187 Cottage Avenue Corp

Community Based Residential Treatment Facility, Mental Illness in Mount Vernon, New York

NPI Number1447663067
Practice location
187 Cottage Ave, Mount Vernon, NY 10550-1446
Fax
—
Last updated
June 11, 2014

187 Cottage Avenue Corp is a healthcare organization based in Mount Vernon, NY. 187 Cottage Avenue Corp practices in Mount Vernon, NY. The NPI Number for 187 Cottage Avenue Corp is 1447663067 and holds a License No. 800-F-986 (NY). The current practice location address for 187 Cottage Avenue Corp is 187 Cottage Ave, Mount Vernon, NY 10550-1446 and can be reached out via phone at 914-664-5046.

Provider Profile Details

NPI Number
1447663067
Provider Name
187 Cottage Avenue Corp
Provider Entity Type
Organization
Address
187 Cottage Ave, Mount Vernon, NY 10550-1446
Phone Number
914-664-5046
Organization Subpart
No
Authorized Official
Mr. David Elisha Grant · Administrator · 914-699-4294
Other Names
Chester Hill Adult Home (Doing Business As)
Provider Enumeration Date
June 11, 2014
Last Update Date
June 11, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
187 Cottage Ave
Mount Vernon, NY 10550-1446
Zip
10550-1446
Phone Number
914-664-5046
Mount Vernon, NY 10550Get directions →

Provider Business Mailing Address Details

Address
187 Cottage Ave
Mount Vernon, NY 10550-1446
City
Mount Vernon
State
NY
Zip
10550-1446
Phone Number
914-664-5046

License Information

License Number
800-F-986
License State
NY

Legacy Identifiers

IdentifierTypeStateIssuer
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 187 Cottage Avenue Corp?

The NPI number of 187 Cottage Avenue Corp is 1447663067. It was assigned on June 11, 2014 and is currently active in the NPPES registry.

What is the specialty of 187 Cottage Avenue Corp?

187 Cottage Avenue Corp is registered under the primary taxonomy Community Based Residential Treatment Facility, Mental Illness (code 320800000X), licensed in NY under license number 800-F-986.

Where does 187 Cottage Avenue Corp practice?

The practice location is 187 Cottage Ave, Mount Vernon, NY 10550-1446. The office can be reached at 914-664-5046 (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 1447663067 directly on the NPPES registry website.

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