=====================================================
General NPI Number Information
=====================================================
NPI Number | 1558462671
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FAMILY AND CHILDREN'S ASSOCIATION - HEMPSTEAD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/25/2006
-----------------------------------------------------
Last Update Date | 11/26/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 126 N FRANKLIN ST
-----------------------------------------------------
City | HEMPSTEAD
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11550-1318
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-486-7200
-----------------------------------------------------
Fax | 516-486-7291
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 377 OAK ST FL 5
-----------------------------------------------------
City | GARDEN CITY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11530-6553
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-746-0350
-----------------------------------------------------
Fax | 516-706-9805
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CFO
-----------------------------------------------------
Name | CARLA DEFRANCISCO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 516-746-0350
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QR0405X
-----------------------------------------------------
Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
-----------------------------------------------------
License Number | 110410636
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------