National Provider Identifier Database

THE DEVEREUX FOUNDATION
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

THE DEVEREUX FOUNDATION
17 DEVEREUX WAY
RED HOOK, NY12571-2268
Phone: 845-758-1899
Fax: 845-758-0675
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for THE DEVEREUX FOUNDATION

NPI Number 1457626152
Legal business name
LBN
THE DEVEREUX FOUNDATION
Authorized official JOHN O'KEEFE - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/13/2012
Last updated 03/13/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 8275440
  • NY Medicaid: 01226017

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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