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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 Specialty Code Provider Type

Intermediate Care Facility, Mentally Retarded

315P00000X
Indicates primary specialty

NPI Profile & details for IRI: INNOVATIVE RESOURCES FOR INDEPENDENCE

NPI # 1801014634
LBN Legal business name IRI: INNOVATIVE RESOURCES FOR INDEPENDENCE
Authorized official JAMES MAGALEE - (ASSOCIATE EXECUTIVE DIR. OF ADMIN.)
Entity Organization
Organization subpart 1 No
Enumeration date 04/24/2007
Last updated 10/12/2018 - About 8 years ago
Identifiers
NY Medicaid 01373404
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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