Medicaid
NPI 1609990712 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Valley Stream, NY
Medicaid is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Valley Stream, NY (NPI 1609990712).
Provider details
- NPI number
- 1609990712
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Manuella Silne Allonce, License Practical Nurse(516) 812-7614
- License
- 265009 (NY)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 265009 (NY)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-16
- Last updated
- 2020-08-22
Frequently asked questions
- What is Medicaid's NPI number?
- Medicaid's National Provider Identifier (NPI) is 1609990712, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medicaid?
- Medicaid is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Medicaid located?
- Medicaid's practice location on file with NPPES is 329 W Jamaica Ave, Valley Stream, NY 11580-5322.
- What is Medicaid's phone number?
- The practice phone number listed in the NPPES registry for Medicaid is (516) 812-7614.
- Who is the authorized official for Medicaid?
- The authorized official listed on Medicaid's NPPES record is Manuella Silne Allonce, License Practical Nurse. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medicaid's NPI active?
- Yes — Medicaid's NPI (1609990712) is active in the NPPES registry as of the last update on 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.