Provider Demographics
NPI:1841335197
Name:CARDINAL MCCLOSKEY SCHOOL & HOME FOR CHILDREN, INC.
Entity type:Organization
Organization Name:CARDINAL MCCLOSKEY SCHOOL & HOME FOR CHILDREN, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MONROE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-997-8000
Mailing Address - Street 1:115 E. STEVENS AVE
Mailing Address - Street 2:FINANCE DEPT. SUITE LL5
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1252
Mailing Address - Country:US
Mailing Address - Phone:914-997-8000
Mailing Address - Fax:
Practice Address - Street 1:115 E. STEVENS AVE
Practice Address - Street 2:SUITE LL5
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1252
Practice Address - Country:US
Practice Address - Phone:845-709-9771
Practice Address - Fax:914-997-2166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251S00000X, 251V00000X, 253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00327931Medicaid
NY02391591Medicaid
NY02923908Medicaid
NY02557913Medicaid