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ST. THERESA'S RESIDENCE
NPI 1275734030
Intermediate Care Facility, Intellectual Disabilities in Mt Vernon, NY

Active since May 30, 2007
30 S 10TH AVE, MT VERNON, NY 10550(914) 664-5900 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Theresa's Residence NPPES

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

ST. THERESA'S RESIDENCE (NPI 1275734030) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Mt Vernon, New York and active in the NPI registry since May 2007. The organization lists Bruce Adler, Vice President Of Finance, as its authorized official.

NPPES Registry Identity

NPI1275734030
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameST. THERESA'S RESIDENCE
Location Address30 S 10TH AVEMt Vernon, NY 10550-2907
Mailing Address30 S 10th AveMt Vernon, NY 10550-2907
Phone(914) 664-5900
Organization SubpartNo
Authorized OfficialBruce AdlerVice President Of Finance · (646) 633-4710
Enumeration DateMay 30, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1275734030 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 · 7482440
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
30 S 10TH AVE, Mt Vernon, NY 10550
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Other Identifiers 1

Medicaid00729617NY

Other Providers at the Same Location NPPES

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

CARDINAL MCCLOSKEY SCHOOL AND HOME FOR CHILDREN
Intermediate Care Facility, Intellectual Disabilities
30 S 10TH AVE
MOUNT VERNON, NY 10550
Westchester County (914) 997-8000

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 St. Theresa's Residence's NPI number?

The NPI number for St. Theresa's Residence is 1275734030. It was assigned to this organization in the NPPES registry on May 30, 2007.

Where is St. Theresa's Residence located?

St. Theresa's Residence is located at 30 S 10th Ave, Mt Vernon, NY 10550. The listed phone number is (914) 664-5900.

What is St. Theresa's Residence'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 St. Theresa's Residence was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.