CARITAS RESIDENCE
NPI 1396863460
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Aquebogue, NY

Active since March 27, 2007
4 HILTON COURT, AQUEBOGUE, NY 11931(631) 665-3434 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Caritas Residence NPPES

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

CARITAS RESIDENCE (NPI 1396863460) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Aquebogue, New York and active in the NPI registry since March 2007. The organization lists Edwin M Kennedy, Cfo, as its authorized official.

NPPES Registry Identity

NPI1396863460
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameCARITAS RESIDENCE
Location Address4 HILTON COURTAquebogue, NY 11931-2383
Mailing AddressPo Box 2383Aquebogue, NY 11931-2383 · (631) 665-3434
Organization SubpartNo
Authorized OfficialEdwin M KennedyCfo · (516) 733-7000
Enumeration DateMarch 27, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1396863460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License Licensed in NY · 6186447
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
4 HILTON COURT, Aquebogue, NY 11931

Other Identifiers 1

Medicaid02245930NY

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 Caritas Residence's NPI number?

The NPI number for Caritas Residence is 1396863460. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Caritas Residence located?

Caritas Residence is located at 4 Hilton Court, Aquebogue, NY 11931. The listed phone number is (631) 665-3434.

What is Caritas Residence's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Caritas 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.