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MISSION OF THE IMMACULATE
NPI 1750570495
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Staten Island, NY

Active since October 18, 2007
6581 HYLAN BLVD, STATEN ISLAND, NY 10309(718) 317-2803(718) 317-2830 Get Directions Write a Review

NPPES record last updated: October 18, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mission Of The Immaculate NPPES

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

MISSION OF THE IMMACULATE (NPI 1750570495) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Staten Island, New York and active in the NPI registry since October 2007. The organization lists Stephen W Rynn, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1750570495
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameMISSION OF THE IMMACULATE
Location Address6581 HYLAN BLVDStaten Island, NY 10309-3830
Mailing Address6581 Hylan BlvdStaten Island, NY 10309-3830 · (718) 317-2803 · Fax (718) 317-2830
Phone(718) 317-2803
Fax(718) 317-2830
Organization SubpartNo
Authorized OfficialStephen W RynnExecutive Director · (718) 317-2803
Enumeration DateOctober 18, 2007
✔ NPI 1750570495 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 · 7943430
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.
6581 HYLAN BLVD, Staten Island, NY 10309
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Other Identifiers 4

Medicaid02002633NY
Medicaid01102721NY
Medicaid02700118NY
Medicaid02253478NY

Other Providers at the Same Location NPPES 12

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

MS. DOLORES CATALFUMO L.C.S.W.
Social Worker (Clinical)
6581 HYLAN BLVD
STATEN ISLAND, NY 10309
Richmond County (718) 317-2842
CRISTINA M. KATZ M.S.
Speech-Language Pathologist
6581 HYLAN BLVD, BUILDING 24
STATEN ISLAND, NY 10309
Richmond County (718) 984-1526
SHIRA MARVET OTR/L
Occupational Therapist
6581 HYLAN BLVD
STATEN ISLAND, NY 10309
Richmond County (718) 984-1526
JENNIFER SUE RACHMAN L.C.S.W.
Social Worker (Clinical)
6581 HYLAN BLVD
STATEN ISLAND, NY 10309
Richmond County (718) 984-4589
COURTNEY FRONER MS CCC-SLP
Speech-Language Pathologist
6581 HYLAN BLVD
STATEN ISLAND, NY 10309
Richmond County (718) 984-1526
CHRISTINE M SLIWA RN MA
Registered Nurse (School)
6581 HYLAN BLVD
STATEN ISLAND, NY 10309
Richmond County (718) 948-5971
CAROL S. HALFHIDE-TORRES LCSW
Social Worker (Clinical)
6581 HYLAN BLVD
STATEN ISLAND, NY 10309
Richmond County (718) 984-4589
REENA RIBALT
Speech-Language Pathologist
6581 HYLAN BLVD
STATEN ISLAND, NY 10309
Richmond County (718) 984-1526

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 Mission Of The Immaculate's NPI number?

The NPI number for Mission Of The Immaculate is 1750570495. It was assigned to this organization in the NPPES registry on October 18, 2007.

Where is Mission Of The Immaculate located?

Mission Of The Immaculate is located at 6581 Hylan Blvd, Staten Island, NY 10309. The listed phone number is (718) 317-2803.

What is Mission Of The Immaculate'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 Mission Of The Immaculate was last updated on October 18, 2007. 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.