OrganizationActive
Martin De Porres Group Homes
NPI 1629163563 · Emotionally Disturbed Childrens' Residential Treatment Facility · Springfield Gardens, NY
Provider details
- NPI number
- 1629163563
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Philip Rofrano, President Executive Director(718) 527-0606
- License
- 00328116 (NY)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense 00328116 (NY)
Residential Treatment Facilities
Practice location
136 25 218th Street
Springfield Gardens, NY 11413-2226
Phone: (718) 527-0606
Fax: (718) 723-1528
Approximate (ZIP-level) locationGet directions
Mailing address
136 25 218th Street
Springfield Gardens, NY 11413-2226
Registry dates
- Enumerated
- 2006-10-04
- 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.