State of New York Comptrollers Office
NPI 1588343115ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Queens Village, NY
Intermediate Care Facility, Intellectual Disabilities in Queens Village, New York, registered in NPPES in July 2023, part of Nys Opwdd. The authorized official on file is Earl Raymond Jefferson, Director Of Central Operations.
Overview
| NPI | 1588343115 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Nys Opwdd |
| NPI issued | Jul 12, 2023 |
| Last updated in NPPES | Jul 12, 2023 |
| Certified by provider | Jul 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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