1255513065 NPI number — SHELTERING ARMS CHILDREN AND FAMILY, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255513065 NPI number — SHELTERING ARMS CHILDREN AND FAMILY, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SHELTERING ARMS CHILDREN AND FAMILY, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255513065
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/05/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
305 7TH AVE
Provider Second Line Business Mailing Address:
4TH. FLOOR
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10001-6008
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-675-1000
Provider Business Mailing Address Fax Number:
212-886-5710

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
305 7TH AVE
Provider Second Line Business Practice Location Address:
4TH. FLOOR
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10001-6008
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-886-5617
Provider Business Practice Location Address Fax Number:
212-989-8347
Provider Enumeration Date:
12/04/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MCCARTHY
Authorized Official First Name:
ELIZABETH
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
212-675-1000

Provider Taxonomy Codes

  • Taxonomy code: 261QH0100X , registered in the state of NULL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00327702 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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