Healthcare Provider Details

I. General information

NPI: 1093839151
Provider Name (Legal Business Name): OHEL CHILDREN'S HOME &FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 01/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5211 FORT HAMILTON PKWY
BROOKLYN NM
11219
US

IV. Provider business mailing address

156 BEACH 9TH ST FL 2
FAR ROCKAWAY NY
11691-5636
US

V. Phone/Fax

Practice location:
  • Phone: 718-972-1377
  • Fax:
Mailing address:
  • Phone: 718-686-3202
  • Fax: 718-686-4202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateNY

VIII. Authorized Official

Name: MR. DAVID MANDEL
Title or Position: CEO
Credential:
Phone: 718-686-3202