ICL INDIVIDUAL SUPPORT SERVICES (NPI# 1205166113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205166113 |
| Entity Type | Organization |
| Organization Name | ICL INDIVIDUAL SUPPORT SERVICES |
| Practice Address |
40 Rector St Fl 11 New York NY 10006-1705 |
| Practice Telephone | 2123853030 |
| Mailing Telephone | 2123853030 |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2009-12-29 |
| Authorized Official Name | DEWEY HOWARD (CFO) |
| Authorized Official Telephone | 2123853030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 0141009 | 05 |
| Street Address |
40 RECTOR ST FL 11 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10006-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902054943 | Icl-east New York Prevention-based Satellite | Community/Behavioral Health | 40 Rector St Fl 11, New York, NY 10006-1705 | 2008-09-03 |
| 1669620555 | Shallow Intermediate School (ms227) | Case Management | 40 Rector St Fl 11, New York, NY 10006-1705 | 2008-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620313 | Retina Labs (usa), Inc. | Technician/Technologist | 165 Broadway - One Liberty Plaza, Suite 2301, New York City, NY 10006 | 2019-10-15 |
| 1437626140 | Conscientiamd PC | Psychiatry & Neurology | 115 Broadway Suite 1800 (room 25), New York, NY 10006 | 2018-10-31 |
| 1720563232 | Harveen Kaur | Physical Therapist | 65 Broadway, Ste. 603, New York, NY 10006 | 2018-10-01 |
| 1871032367 | Joanne Herskovits | Speech-Language Pathologist | 90 Trinity Place, Leadership and Public Service High School, New York, NY 10006 | 2017-02-16 |
| 1457801318 | Lifetime Physical Therapy | Clinic/Center | 2 Rector St # 1301, Lifetime Physical Therapy, New York, NY 10006 | 2016-10-04 |
| 1649647959 | Progyny, Inc. | Exclusive Provider Organization | 1 Liberty Plaza, 47th Floor, New York, NY 10006 | 2015-08-24 |
| 1801207022 | Jane Arkinstall | Social Worker | 39 Broadway Suite 200, Mjhs, New York, NY 10006 | 2014-05-09 |
| 1487077665 | Jacob Perlow Hospice | Medicare Defined Swing Bed Unit | 39 Broadway, Suite 200, Ny, NY 10006 | 2014-01-24 |
| 1003249301 | Calvin C. Krom IIi | Emergency Medicine | 39 Broadway Fl 3, New York, NY 10006 | 2013-08-10 |
| 1740535103 | Carol Lynn Say Tan | Physical Therapist | 61 Broadway Suite 2824, New York, NY 10006 | 2012-07-20 |
| Find all providers in zip 10006 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629523105 | Mary Amatya | Day Training, Developmentally Disabled Services | 546 W 147th St Apt 2f, New York, NY 10031-4529 | 2016-08-24 |
| 1699148866 | Greenkey Resources LLC | Day Training, Developmentally Disabled Services | 247 E 39th St Apt 5a, New York, NY 10016-2192 | 2015-11-10 |
| 1144693037 | Kayla Giunta | Day Training, Developmentally Disabled Services | 260 6th Ave, Apt 33, New York, NY 10014-4703 | 2015-11-02 |
| 1720463193 | Center for Family Support, New Jersey, Inc. | Day Training, Developmentally Disabled Services | 333 7th Ave Fl 9, New York, NY 10001-5004 | 2015-07-27 |
| 1013258821 | Social Adult Day Care Inc | Day Training, Developmentally Disabled Services | 516 W 181st St, 6th Fl, New York, NY 10033-5101 | 2013-03-05 |
| 1437467289 | Occupational Therapy and Social Work Associates | Day Training, Developmentally Disabled Services | 251 East 77th Street, Lower Level, New York, NY 10075 | 2010-09-15 |
| 1174853071 | Icl Joselow House | Day Training, Developmentally Disabled Services | 46 W 74th St, New York, NY 10023-2401 | 2009-12-28 |
| 1013165737 | Sinergia, Inc | Day Training, Developmentally Disabled Services | 134 W 29th St Fl 4, New York, NY 10001-5304 | 2008-09-06 |
| 1992927065 | Nordoff-robbins Center for Music Therapy | Day Training, Developmentally Disabled Services | 82 Washington Square East - 4th Floor, New York, NY 10003 | 2007-05-02 |
| 1255410437 | Centro Social La Esperanza, Inc. | Day Training, Developmentally Disabled Services | 2212 3rd Ave, New York, NY 10035-3530 | 2006-11-06 |
| Find all providers in NEW YORK | ||||
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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.