Provider Demographics
NPI:1467752048
Name:RICHMOND CHILDRENS CENTER INC
Entity Type:Organization
Organization Name:RICHMOND CHILDRENS CENTER INC
Other - Org Name:RICHMOND COMMUNITY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:T
Authorized Official - Last Name:SPAUSTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:914-471-4110
Mailing Address - Street 1:272 N BEDFORD RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-1103
Mailing Address - Country:US
Mailing Address - Phone:914-471-4100
Mailing Address - Fax:914-471-4101
Practice Address - Street 1:2820 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:MOHEGAN LAKE
Practice Address - State:NY
Practice Address - Zip Code:10547-1846
Practice Address - Country:US
Practice Address - Phone:914-471-4100
Practice Address - Fax:914-471-4101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities