Provider Demographics
NPI:1023178902
Name:MCQUADE FOUNDATION
Entity Type:Organization
Organization Name:MCQUADE FOUNDATION
Other - Org Name:MCQUADE HOME FOR CHILDREN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSOC EXEC DIRECTOR-FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:FLOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-561-0436
Mailing Address - Street 1:PO BOX 4064
Mailing Address - Street 2:
Mailing Address - City:NEW WINDSOR
Mailing Address - State:NY
Mailing Address - Zip Code:12553-0064
Mailing Address - Country:US
Mailing Address - Phone:845-561-0436
Mailing Address - Fax:845-561-5720
Practice Address - Street 1:621 BLOOMING GROVE TPKE
Practice Address - Street 2:
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-8003
Practice Address - Country:US
Practice Address - Phone:845-561-0436
Practice Address - Fax:845-561-5720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00A01367322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00475916OtherCHILD CARE AGENCY