Provider Demographics
NPI:1982879409
Name:PLUS GROUP HOMES, INC.
Entity Type:Organization
Organization Name:PLUS GROUP HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:R
Authorized Official - Last Name:WUNSCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-409-9450
Mailing Address - Street 1:1228 WANTAGH AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-2209
Mailing Address - Country:US
Mailing Address - Phone:516-409-9450
Mailing Address - Fax:516-409-9455
Practice Address - Street 1:1228 WANTAGH AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-2209
Practice Address - Country:US
Practice Address - Phone:516-409-9450
Practice Address - Fax:516-409-9455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01120956Medicaid