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Bustamonte Residence

Intellectual and/or Developmental Disabilities Residential Treatment Facility in West Babylon, NY · enumerated 2007 · authorized official Edwin Kennedy, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134240831

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Registry record

Entity type Organization (Type 2)
Legal business name Bustamonte Residence
Practice address 664 Albin Ave, West Babylon, NY, 11704
Enumeration date Apr 2, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Residential Treatment Facilities · License 6186452 (NY) Primary

Authorized official

Name Edwin Kennedy
Title Cfo

Other identifiers

Identifier Type State Issuer
02245930 Medicaid NY -

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.

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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 2026-07-13. Provider record last updated 2020-08-22.