National Provider Identifier Database

GAN KAVOD INC
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

GAN KAVOD, INC
2050 TILDEN AVE
BOX 1000
NEW HARTFORD, NY13413-3613
Phone: 315-797-3114
Fax: 315-624-0474
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for GAN KAVOD, INC

NPI Number 1346415841
Legal business name
LBN
GAN KAVOD, INC
Authorized official PATRICIA HAYS - (ADMINISTRATOR OF COMMUNITY SERVICES)
Entity Organization
Organization subpart No
Enumeration date 04/25/2008
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • NY Medicaid: 01224506
  • NY Medicaid: 01224515

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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