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SCO FAMILY OF SERVICES DBA MADONNA HEIGHTS SERVICE CLINIC
NPI 1992801062
Residential Treatment Facility, Physical Disabilities in Garden City, NY

Active since September 16, 2006CLIA 33D0953401 · Waiver
1415 KELLUM PL STE 140, GARDEN CITY, NY 11530(631) 759-1844(516) 759-6921 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2026, Dec 17, 2025 (2 updates tracked since 2025).

About Sco Family Of Services Dba Madonna Heights Service Clinic NPPES

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

SCO FAMILY OF SERVICES DBA MADONNA HEIGHTS SERVICE CLINIC (NPI 1992801062) is a healthcare organization registered as a residential treatment facility, physical disabilities in Garden City, New York and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027, maintains a secondary practice location in Dix Hills, and lists Jaclyn Feldman, Director Of Revenue Cycle & Client, as its authorized official.

NPPES Registry Identity

NPI1992801062
Entity TypeOrganization
Primary Taxonomy320700000X
Legal Business NameSCO FAMILY OF SERVICES DBA MADONNA HEIGHTS SERVICE CLINIC
Location Address1415 KELLUM PL STE 140Garden City, NY 11530-1604
Mailing Address1415 Kellum Pl Ste 140Garden City, NY 11530-1604 · (631) 759-1844 · Fax (516) 759-6921
Phone(631) 759-1844
Fax(516) 759-6921
Organization SubpartNo
Authorized OfficialJaclyn FeldmanDirector Of Revenue Cycle & Client · (516) 759-1844
Enumeration DateSeptember 16, 2006
Last NPPES UpdateMarch 27, 20262 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1992801062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities
Taxonomy Code320700000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
1415 KELLUM PL STE 140, Garden City, NY 11530
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Secondary Practice Location 1

Location 1151 Burrs LnDix Hills, NY 11746-6052 · Phone (631) 213-0146

Other Identifiers 6

Medicaid01066206NY
Medicaid01405774NY
Medicaid01857327NY
Medicaid00675530NY
Medicaid00801116NY
Medicaid02187231NY

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 33D0953401

Sco Family Of Services · Dix Hills, NY
Active · expires Mar 26, 2027
CLIA Number33D0953401
Laboratory TypeOther
Certificate Effective DateMarch 28, 2006
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Yelitza Seoane
Laboratory Phone(631) 643-8800
Laboratory LocationSco Family Of Services151 Burrs Lane, Dix Hills, NY 11746
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

SCO FAMILY OF SERVICES
Foster Care Agency
1415 KELLUM PL STE 140
GARDEN CITY, NY 11530
Nassau County (516) 759-1844
SCO FAMILY OF SERVICES
Residential Treatment Facility, Emotionally Disturbed Children
1415 KELLUM PL STE 140
GARDEN CITY, NY 11530
Nassau County (516) 759-1844
VINCENT ZHAO
Social Worker
1415 KELLUM PL STE 140
GARDEN CITY, NY 11530
Nassau County (516) 671-1253

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 Sco Family Of Services Dba Madonna Heights Service Clinic's NPI number?

The NPI number for Sco Family Of Services Dba Madonna Heights Service Clinic is 1992801062. It was assigned to this organization in the NPPES registry on September 16, 2006.

Where is Sco Family Of Services Dba Madonna Heights Service Clinic located?

Sco Family Of Services Dba Madonna Heights Service Clinic is located at 1415 Kellum Pl Ste 140, Garden City, NY 11530. The listed phone number is (631) 759-1844.

What is Sco Family Of Services Dba Madonna Heights Service Clinic's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

Does Sco Family Of Services Dba Madonna Heights Service Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0953401) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sco Family Of Services Dba Madonna Heights Service Clinic was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.