LONG ISLAND DC RIDGE HSE C
NPI 1033259106
Intermediate Care Facility, Intellectual Disabilities in Ridge, NY

Active since February 07, 2007
64 RIDGE RD, HOUSE C, RIDGE, NY 11961(518) 402-4333 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Long Island Dc Ridge Hse C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONG ISLAND DC RIDGE HSE C (NPI 1033259106) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Ridge, New York and active in the NPI registry since February 2007. The organization lists Karla Smith, Director Of Central Operations, as its authorized official.

NPPES Registry Identity

NPI1033259106
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSTATE OF NEW YORK
Location Address64 RIDGE RD, HOUSE CRidge, NY 11961-1008
Mailing Address44 Holland AveAlbany, NY 12229-0001 · (518) 402-4333
Organization SubpartYes
Authorized OfficialKarla SmithDirector Of Central Operations · (518) 402-4333
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJune 26, 2008
NPI 1033259106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License Licensed in NY · 00227840
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
64 RIDGE RD, Ridge, NY 11961

Other Names 1

Other NameLong Island Dc Ridge Hse C

Other Identifiers 1

Medicaid00938110NY

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Intermediate Care Facility, Intellectual Disabilities
64 RIDGE RD, HOUSE B
RIDGE, NY 11961
Intermediate Care Facility, Intellectual Disabilities
64 RIDGE RD, HOUSE A
RIDGE, NY 11961

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of New York's NPI number?

The NPI number for State Of New York is 1033259106. It was assigned to this organization in the NPPES registry on February 7, 2007. The provider is also known as Long Island Dc Ridge Hse C.

Where is State Of New York located?

State Of New York is located at 64 Ridge Rd House C, Ridge, NY 11961. The listed phone number is (518) 402-4333.

What is State Of New York's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for State Of New York was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.