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SUNMOUNT DDSO SRU #2
NPI 1689713372
Intermediate Care Facility, Intellectual Disabilities in Tupper Lake, NY

Active since February 06, 2007
21 HOSLEY AVE, TUPPER LAKE, NY 12986(518) 402-4333 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sunmount Ddso Sru #2 NPPES

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

SUNMOUNT DDSO SRU #2 (NPI 1689713372) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Tupper Lake, New York and active in the NPI registry since February 2007. The organization lists Karla Smith, Director Of Central Operations, as its authorized official.

NPPES Registry Identity

NPI1689713372
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSTATE OF NEW YORK
Location Address21 HOSLEY AVETupper Lake, NY 12986
Mailing Address44 Holland AveAlbany, NY 12229-0001 · (518) 402-4333
Phone(518) 402-4333
Organization SubpartYes
Authorized OfficialKarla SmithDirector Of Central Operations · (518) 402-4333
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJune 25, 2008
✔ NPI 1689713372 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 · 00225050
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
21 HOSLEY AVE, Tupper Lake, NY 12986
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Other Names 1

Other NameSunmount Ddso Sru #2

Other Identifiers 1

Medicaid01329193NY

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 State Of New York's NPI number?

The NPI number for State Of New York is 1689713372. It was assigned to this organization in the NPPES registry on February 6, 2007. The provider is also known as Sunmount Ddso Sru #2.

Where is State Of New York located?

State Of New York is located at 21 Hosley Ave, Tupper Lake, NY 12986. The listed phone number is (518) 402-4333.

What is State Of New York'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 State Of New York was last updated on June 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.