Provider Demographics
NPI:1003418641
Name:INCLUSIVE LINKS INC
Entity Type:Organization
Organization Name:INCLUSIVE LINKS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRETOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHURCHILL
Authorized Official - Middle Name:
Authorized Official - Last Name:EGONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-843-3217
Mailing Address - Street 1:45 LUDLOW ST STE 312
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-1949
Mailing Address - Country:US
Mailing Address - Phone:914-843-3217
Mailing Address - Fax:914-843-3217
Practice Address - Street 1:45 LUDLOW ST STE 312
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-1949
Practice Address - Country:US
Practice Address - Phone:914-843-3217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04075783Medicaid