CHURCH STREET ICF
NPI 1639391733
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Chateaugay, NY
About Church Street Icf NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHURCH STREET ICF (NPI 1639391733) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Chateaugay, New York and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Gregory I Langdon, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
Other Names 1
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver
Citizen Advocates · Malone, NYFrequently Asked Questions
The NPI number assigned to this healthcare provider is 1639391733, enumerated as an "organization" on May 02, 2007.
The provider is located at 52 CHURCH ST CHATEAUGAY, NY 12920 and the phone number is (518) 497-6668.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
