Healthcare Provider Details

I. General information

NPI: 1356257646
Provider Name (Legal Business Name): CARDINAL HAYES HOME FOR CHILDREN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 ST JOSEPH DR
MILLBROOK NY
12545-5974
US

IV. Provider business mailing address

PO BOX CH
MILLBROOK NY
12545-0140
US

V. Phone/Fax

Practice location:
  • Phone: 845-677-6363
  • Fax: 845-677-6367
Mailing address:
  • Phone: 845-677-6363
  • Fax: 845-677-6367

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 State

VIII. Authorized Official

Name: PATRICIA SCOTT
Title or Position: CFO
Credential:
Phone: 845-447-3208