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St.Dominic'S Home

Intellectual Disabilities Intermediate Care Facility in Blauvelt, NY · enumerated 2007 · authorized official Judy Kydon, Chief Executive Officer.

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

National Provider Identifier

1548399488

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Registry record

Entity type Organization (Type 2)
Legal business name St.Dominic'S Home
Practice address 500 Western Hwy, Blauvelt, NY, 10913
Fax (845) 359-4253
Enumeration date Mar 5, 2007
Last updated in NPPES Sep 20, 2016

Taxonomy & classification

315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities · License 07159457 (NY) Primary

Authorized official

Name Judy Kydon
Title Chief Executive Officer

Other identifiers

Identifier Type State Issuer
02840751 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

Where is St.Dominic'S Home located?
The practice location on file with NPPES is in Blauvelt, NY.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-09-20. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-09-20.