Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mission of the Immaculate

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1750570495

Mission of the Immaculate is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Staten Island, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

6581 Hylan Blvd
Staten Island, NY 10309-3830
Phone: (718) 317-2803
Fax: (718) 317-2830
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence 7943430 (NY)

Record details

NPI number1750570495
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Rynn — Executive Director · (718) 317-2803
NPI enumeratedOctober 18, 2007
Last updated in NPPESOctober 18, 2007
Mailing address6581 Hylan Blvd, Staten Island, NY 10309-3830

Other providers in Staten Island