OrganizationActive
Caritas Residence
NPI 1396863460 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Aquebogue, NY
Provider details
- NPI number
- 1396863460
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Edwin Kennedy, Cfo(516) 733-7000
- License
- 6186447 (NY)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 6186447 (NY)
Residential Treatment Facilities
Practice location
4 Hilton Court
Aquebogue, NY 11931-2383
Phone: (631) 665-3434
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2383
Aquebogue, NY 11931-2383
Registry dates
- Enumerated
- 2007-03-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.