National Provider Identifier Database

IRI INNOVATIVE RESOURCES FOR INDEPENDENCE
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

IRI: INNOVATIVE RESOURCES FOR INDEPENDENCE
10108 PARK LN S
RICHMOND HILL, NY11418-1146
Phone: 718-805-6796
Fax: 718-805-4211
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for IRI: INNOVATIVE RESOURCES FOR INDEPENDENCE

NPI Number 1801014634
Legal business name
LBN
IRI: INNOVATIVE RESOURCES FOR INDEPENDENCE
Authorized official JAMES MAGALEE - (ASSOCIATE EXECUTIVE DIR. OF ADMIN.)
Entity Organization
Organization subpart No
Enumeration date 04/24/2007
Last updated 10/12/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • NY Medicaid: 01373404

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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