EDEN II SCHOOL FOR AUTISTIC CHILDREN (NPI# 1023150398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023150398 |
| Entity Type | Organization |
| Organization Name | EDEN II SCHOOL FOR AUTISTIC CHILDREN |
| Practice Address |
150 Granite Avenue Staten Island NY 10303 |
| Practice Telephone | 7188161422 |
| Practice Fax Number | 7188161428 |
| Mailing Telephone | 7188161422 |
| Mailing Fax Number | 7188161428 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2015-07-16 |
| Authorized Official Name | MR. DANIEL RAUCH (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7188161422 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01296208 | 05 |
| Street Address |
150 GRANITE AVENUE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114580297 | Krisiya Ilianna Deschamps-perez | Registered Nurse | 12 Kinsey Pl, Staten Island, NY 10303 | 2019-04-15 |
| 1376057398 | Vine Gate Inc. | Case Management | 42 Amity Pl, Staten Island, NY 10303 | 2017-11-29 |
| 1396289815 | Lateefat Onitiri | Licensed Practical Nurse | 21 Wright Avenue, Staten Island, NY 10303 | 2016-12-19 |
| 1922466101 | Lydia Ogaja | Registered Nurse | 176 B Netherland Avenue, Staten Island, NY 10303 | 2016-02-03 |
| 1679994594 | Sibi Abraham | Physical Therapist | 2324 Forest Ave Ny, Staten Island, NY 10303 | 2013-12-18 |
| 1750633442 | Geraldine Gamboa | Physical Therapist | 939 Goethals Road North, Unit 1, Staten Island, NY 10303 | 2012-10-05 |
| 1710235635 | Michael J. Tighe | Specialist | 400 Lake Avenue, Visiting Nurse Association, Staten Island, NY 10303 | 2012-08-27 |
| 1710232798 | Funmilola Azeezat Kolawole | Licensed Practical Nurse | 85 Lockman Av, Staten Island, NY 10303 | 2012-07-17 |
| 1396013520 | Destiny Rodriguez | Interpreter | 35 Holland Ave. Apt. 8c, Staten Island, NY 10303 | 2011-12-02 |
| 1497043756 | Margaret Ultra Home Care Inc. | Licensed Practical Nurse | 271b Maple Parkway, Staten Island, NY 10303 | 2011-07-20 |
| Find all providers in zip 10303 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | 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. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780863589 | Association for The Advancement of Blind and Retarded Inc | Intermediate Care Facility, Mentally Retarded | 158 Cromwell Avenue, Staten Island, NY 10304 | 2007-10-29 |
| 1134338353 | United Cerebral Palsy of New York City, Inc. | Intermediate Care Facility, Mentally Retarded | 185 Saint Marks Pl, Apts. 2l-m, Staten Island, NY 10301-1670 | 2007-05-22 |
| 1861606048 | United Cerebral Palsy of New York City Inc | Intermediate Care Facility, Mentally Retarded | 165 Saint Marks Pl, Apts 2a 2b, Staten Island, NY 10301-1669 | 2007-05-09 |
| 1073726188 | Lifespire, Inc. | Intermediate Care Facility, Mentally Retarded | 107 Jumel St, Staten Island, NY 10308-1720 | 2007-05-07 |
| 1134332257 | Lifespire, Inc. | Intermediate Care Facility, Mentally Retarded | 146 South Ave, Staten Island, NY 10303-1665 | 2007-05-07 |
| 1932322518 | United Cerebral Palsy Assoc of Nys | Intermediate Care Facility, Mentally Retarded | 35 Sharrotts Rd, Staten Island, NY 10309-1953 | 2007-04-11 |
| 1225150030 | United Cerebral Palsy Assoc of Nys Inc | Intermediate Care Facility, Mentally Retarded | 455 Medina St, Staten Island, NY 10306-4435 | 2007-04-04 |
| 1518089390 | United Cerebral Palsy Assoc of Nys | Intermediate Care Facility, Mentally Retarded | 64 Madsen Ave, Staten Island, NY 10309-2608 | 2007-04-04 |
| 1548382393 | United Cerebral Palsy Assoc of Nys | Intermediate Care Facility, Mentally Retarded | 17 Scarboro Ave, Staten Island, NY 10305-3118 | 2007-04-04 |
| 1275673287 | State of New York | Intermediate Care Facility, Mentally Retarded | 24 O Executive Way, Staten Island, NY 10314 | 2007-02-07 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10303 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.