National Provider Identifier Database

UCP OF QUEENS
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

UCP OF QUEENS
8115 164TH ST
JAMAICA, NY11432-1118
Phone: 718-380-3000
Fax: 718-969-5426
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for UCP OF QUEENS

NPI Number 1487829396
Legal business name
LBN
UCP OF QUEENS
Authorized official CHARLES HOPE - (REVENUE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 04/23/2008
Last updated 04/23/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NY Medicaid: 01110989

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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