National Provider Identifier

State Of New York

State Of New York is listed in the NPPES registry with a primary specialty of Intellectual Disabilities Intermediate Care Facility in Rochester, NY and a listed phone number of (518) 402-4333.

NPI 1639218456Rochester, NYIntellectual Disabilities Intermediate Care Facility

Source: public NPPES record, last updated June 27, 2008. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1639218456
Provider Type
Organization
Primary Specialty
Intellectual Disabilities Intermediate Care Facility
Enumeration Date
February 06, 2007
Last Updated
June 27, 2008

Practice Location

  • 620 Westfall RD
  • Rochester, NY 14620-4610

Phone: (518) 402-4333

Mailing Address

  • 44 Holland Ave
  • Albany, NY 12229-0001

Authorized Official

Name
Karla Smith
Title
Director Of Central Operations
Phone
(518) 402-4333

Specialties

  • Intellectual Disabilities Intermediate Care Facility (315P00000X)

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Organization Overview

The State of New York operates Monroe Developmental Center in Rochester as part of OPWDD’s Finger Lakes service network. OPWDD says it coordinates services for New Yorkers with developmental disabilities, providing supports directly and through nonprofit providers, while its Finger Lakes Developmental Disabilities Services Office serves Monroe County and lists clinical services including medical, dental, audiology, psychiatry, therapies, nutrition, social work, and speech-language pathology. OPWDD’s history traces the agency to 1978 and the transition away from large institutions toward community-based supports.

Full Record
NPI
1639218456
Entity Type
Organization
Organization Name
State Of New York
Provider Other Organization Name Type Code
6
Mailing Street Address
44 Holland Ave
Mailing City
Albany
Mailing State
NY
Mailing ZIP Code
12229-0001
Mailing Country
US
Mailing Phone
(518) 402-4333
Practice Street Address
620 Westfall RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-4610
Practice Country
US
Practice Phone
(518) 402-4333
Enumeration Date
February 06, 2007
Last Updated
June 27, 2008
Authorized Official Last Name
Smith
Authorized Official First Name
Karla
Authorized Official Title
Director Of Central Operations
Authorized Official Phone
(518) 402-4333
Organization Subpart
Yes
Parent Organization Name
STATE OF NEW YORK
Taxonomies
Intellectual Disabilities Intermediate Care Facility (315P00000X)
Other Identifiers
00665729 (NY)