BOUCHARD
NPI 1184881781
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Latham, NY

Active since May 21, 2008
1 E GLENWOOD DR, LATHAM, NY 12110(518) 437-5717 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bouchard NPPES

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

BOUCHARD (NPI 1184881781) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Latham, New York and active in the NPI registry since May 2008. The organization lists Laura Gould, Supervisor Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1184881781
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCENTER FOR DIABILITY SERVICES INC
Location Address1 E GLENWOOD DRLatham, NY 12110-3321
Mailing Address314 S Manning BlvdAlbany, NY 12208-1708
Organization SubpartNo
Authorized OfficialLaura GouldSupervisor Of Credentialing · (518) 437-5516
Enumeration DateMay 21, 2008
Last NPPES UpdateMay 2, 2024
NPPES CertifiedMay 2, 2024
NPI 1184881781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1 E GLENWOOD DR, Latham, NY 12110

Other Names 1

Other NameBouchard

Other Identifiers 1

Medicaid00873776NY

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 Center For Diability Services Inc's NPI number?

The NPI number for Center For Diability Services Inc is 1184881781. It was assigned to this organization in the NPPES registry on May 21, 2008. The provider is also known as Bouchard.

Where is Center For Diability Services Inc located?

Center For Diability Services Inc is located at 1 E Glenwood Dr, Latham, NY 12110. The listed phone number is (518) 437-5717.

What is Center For Diability Services Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Center For Diability Services Inc was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.