START WHERE YOU STAND, INC. (NPI# 1003348939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003348939 |
| Entity Type | Organization |
| Organization Name | START WHERE YOU STAND, INC. |
| Practice Address |
14502 123rd Ave Private South Ozone Park NY 11436-1618 |
| Mailing Address |
14502 123rd Ave South Ozone Park NY 11436-1618 |
| Practice Telephone | 7187649742 |
| Mailing Telephone | 7187649742 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |
| Authorized Official Name | MS. KRYSTAL AVIS BLACK (EXECUTIVE DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 7187649742 |
| Authorized Official Credential | CASAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
25853 | NY | Residential Treatment Facilities |
| Street Address |
14502 123RD AVE PRIVATE |
| City | SOUTH OZONE PARK |
| State | NY |
| Zip Code | 11436-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007361 | Precious Bunkley | Registered Nurse | 148-04 133rd Ave, Jamaica, NY 11436 | 2020-09-11 |
| 1245864362 | Olga J Mondesir | Counselor | 133-16 143rd Street, Jamaica, NY 11436 | 2020-02-27 |
| 1225661499 | Pharmex Pharmacy Inc | Pharmacy | 140-18 Rockaway Blvd, Jamaica, NY 11436 | 2020-02-17 |
| 1073156436 | Star Dme Inc | Durable Medical Equipment & Medical Supplies | 141-04 Rockaway Blvd, Ste 1f, Jamaica, NY 11436 | 2019-10-17 |
| 1154977924 | Victoria Jo-el Pearson | Counselor | 130-38 146 Street, Jamaica, NY 11436 | 2019-08-16 |
| 1972068104 | Noella Young | Social Worker | 142-29 Rockaway Blvd, Jamiaca, NY 11436 | 2019-02-01 |
| 1629562780 | Jaishree Mekhuri | Student in an Organized Health Care Education/Training Program | 14243 123 Ave, Jamiaca, NY 11436 | 2018-06-21 |
| 1689113268 | Ashlie Darrel Butler | Specialist | 116-48 Inwood Street, Jamaica, NY 11436 | 2017-02-16 |
| 1649714718 | Marina Tarn | Speech-Language Pathologist | 114-43 142nd Street, Jamaica, NY 11436 | 2016-12-08 |
| 1487011862 | Cherie Grizzell | Counselor | 140-15 Bascom Ave, South Ozone Park, NY 11436 | 2016-01-15 |
| Find all providers in zip 11436 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376932558 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave., Albany, NY 12206 | 2015-01-12 |
| 1699197053 | Renaissance Addiction Services, Inc. | Substance Abuse Rehabilitation Facility | 920 Harlem Rd, West Seneca, NY 14224-1008 | 2014-01-20 |
| 1861664617 | Lasalle School | Substance Abuse Rehabilitation Facility | 391 Western Ave, Albany, NY 12203-1491 | 2008-04-01 |
| 1245352525 | Daytop Village, Inc. | Substance Abuse Rehabilitation Facility | 220 Fox Hollow Road, Rhinebeck, NY 12572 | 2007-04-06 |
| 1598802514 | Berkshire Farm Center and Services for Youth | Substance Abuse Rehabilitation Facility | 13640 Rte 22, Canaan, NY 12029 | 2007-01-31 |
| 1255482535 | Prcd, Inc. | Substance Abuse Rehabilitation Facility | 2654 Ridgeway Ave, Rochester, NY 14626-4209 | 2007-01-15 |
| 1891896767 | Can/am Youth Services, Inc. | Substance Abuse Rehabilitation Facility | 100 County Route 43, Massena, NY 13662-4104 | 2006-09-25 |
| 1326690611 | North Country Freedom Homes, Inc. | Substance Abuse Rehabilitation Facility | 25 Dies St, Canton, NY 13617-1306 | 2019-07-16 |
| 1508317561 | Ymca of Greater Ny | Substance Abuse Rehabilitation Facility | 3911 Richmond Ave, Staten Island, NY 10312-5110 | 2016-10-14 |
| 1568910263 | Gloria Espinoza Rn | Substance Abuse Rehabilitation Facility | 3911 Richmond Ave, Staten Island, NY 10312-5110 | 2016-09-12 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH OZONE PARK |
| Zip Code | 11436 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.