MEDICAID
NPI 1609990712
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Valley Stream, NY

Active since March 16, 2007
329 W JAMAICA AVE, VALLEY STREAM, NY 11580(516) 812-7614 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Medicaid NPPES

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

MEDICAID (NPI 1609990712) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Valley Stream, New York and active in the NPI registry since March 2007. The organization lists Manuella Silne Allonce, License Practical Nurse, as its authorized official.

NPPES Registry Identity

NPI1609990712
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameMEDICAID
Location Address329 W JAMAICA AVEValley Stream, NY 11580-5322
Mailing Address329 W Jamaica AveValley Stream, NY 11580-5322 · (516) 812-7614
Organization SubpartNo
Authorized OfficialManuella Silne AllonceLicense Practical Nurse · (516) 812-7614
Enumeration DateMarch 16, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1609990712 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 · 265009
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.

329 W JAMAICA AVE, Valley Stream, NY 11580

Other Providers at the Same Location NPPES

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

Licensed Practical Nurse
329 W JAMAICA AVE
VALLEY STREAM, NY 11580

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 Medicaid's NPI number?

The NPI number for Medicaid is 1609990712. It was assigned to this organization in the NPPES registry on March 16, 2007.

Where is Medicaid located?

Medicaid is located at 329 W Jamaica Ave, Valley Stream, NY 11580. The listed phone number is (516) 812-7614.

What is Medicaid'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 Medicaid was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.