ST.DOMINIC'S HOME
NPI 1376580092
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Blauvelt, NY

Active since June 01, 2006
500 WESTERN HWY, BLAUVELT, NY 10913(845) 359-3400(845) 359-4253 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.dominic's Home NPPES

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

ST.DOMINIC'S HOME (NPI 1376580092) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Blauvelt, New York and active in the NPI registry since June 2006. The organization lists Judith D Kydon, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1376580092
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameST.DOMINIC'S HOME
Location Address500 WESTERN HWYBlauvelt, NY 10913-2000
Mailing Address500 Western HwyBlauvelt, NY 10913-2000 · (845) 359-3400 · Fax (845) 359-4253
Fax(845) 359-4253
Organization SubpartNo
Authorized OfficialJudith D KydonExecutive Director · (845) 359-3400
Enumeration DateJune 1, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1376580092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License Licensed in NY · 22280
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
500 WESTERN HWY, Blauvelt, NY 10913

Other Identifiers 1

Medicaid01494302NY

Other Providers at the Same Location NPPES 20

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

Case Management
500 WESTERN HWY
BLAUVELT, NY 10913
Intermediate Care Facility, Intellectual Disabilities
500 WESTERN HWY
BLAUVELT, NY 10913
Case Management
500 WESTERN HWY
BLAUVELT, NY 10913
Speech-Language Pathologist
500 WESTERN HWY
BLAUVELT, NY 10913
Respite Care (Respite Care, Intellectual and/or Developmental Disabilities)
500 WESTERN HWY
BLAUVELT, NY 10913
Day Training, Developmentally Disabled Services
500 WESTERN HWY
BLAUVELT, NY 10913
Counselor (Mental Health)
500 WESTERN HWY
BLAUVELT, NY 10913
Case Management
500 WESTERN HWY
BLAUVELT, NY 10913

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.Dominic's Home's NPI number?

The NPI number for St.Dominic's Home is 1376580092. It was assigned to this organization in the NPPES registry on June 1, 2006.

Where is St.Dominic's Home located?

St.Dominic's Home is located at 500 Western Hwy, Blauvelt, NY 10913. The listed phone number is (845) 359-3400.

What is St.Dominic's Home'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 St.Dominic's Home 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.