National Provider Identifier Database

CEREBRAL PALSY HANDICAPPED CHILDRENS ASSOC OF CHEMUNG CO 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

CEREBRAL PALSY & HANDICAPPED CHILDRENS ASSOC. OF CHEMUNG CO., INC.
398 OLD ITHACA RD
ICF
HORSEHEADS, NY14845-7202
Phone: 607-734-3592
Fax:
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for CEREBRAL PALSY & HANDICAPPED CHILDRENS ASSOC. OF CHEMUNG CO., INC.

NPI Number 1891835963
Legal business name
LBN
CEREBRAL PALSY & HANDICAPPED CHILDRENS ASSOC. OF CHEMUNG CO., INC.
Authorized official MARK PETERS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 02/07/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 6515440
  • NY Medicaid: 00806428

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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