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Bustamonte Residence

Bustamonte Residence is a healthcare organization registered as Intellectual and/or Developmental Disabilities Residential Treatment Facility in West Babylon, NY, holding Type 2 (organization) NPI 1134240831 since 2007. The authorized official on file is Edwin Kennedy, Cfo.

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NPI 1134240831
Entity type Organization (Type 2)
Legal business name Bustamonte Residence
Practice address 664 ALBIN AVE, West Babylon, NY, 11704
Phone 6316653434
Enumeration date 2007-04-02
Last updated in NPPES 2020-08-22

Authorized official

Name Edwin Kennedy
Title Cfo
Phone 5167337000

Taxonomy & classification

Taxonomy code Specialty Primary License State
320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 6186452 NY

Other identifiers

Identifier Type State Issuer
02245930 Medicaid NY
Copy-ready billing details
Provider: Bustamonte Residence
NPI: 1134240831
Taxonomy: 320600000X (Intellectual and/or Developmental Disabilities Residential Treatment Facility)
Address: 664 ALBIN AVE, West Babylon, NY, 11704

Verify this record

Cross-check NPI 1134240831 against the authoritative CMS record: view Bustamonte Residence on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Who is the authorized official for Bustamonte Residence?
NPPES lists Edwin Kennedy (Cfo) as the authorized official for this organization.
What is the NPI number for Bustamonte Residence?
The NPI for Bustamonte Residence is 1134240831, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.