VIP COMMUNITY SERVICES (NPI# 1033659263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033659263 |
| Entity Type | Organization |
| Organization Name | VIP COMMUNITY SERVICES |
| Practice Address |
764 E 176th St Bronx NY 10460-4606 |
| Practice Telephone | 7185428770 |
| Practice Fax Number | 7186174054 |
| Mailing Telephone | 7185428770 |
| Mailing Fax Number | 7186174054 |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |
| Authorized Official Name | MR. ROBERT GRISET (CL.SUPERVISOR) |
| Authorized Official Telephone | 7185428770 |
| Authorized Official Credential | CASAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 21275 | NY | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629343983 | Vip Community Services | Community/Behavioral Health | 2403 Doral Dr, Blackwood, NJ 08012-5430 | 2012-03-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VIP COMMUNITY SERVICES | 770 E. 176th Street, Bronx, NY 10457-4617 |
| Street Address |
764 E 176TH ST |
| City | BRONX |
| State | NY |
| Zip Code | 10460-4606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053866954 | Vocational Instruction Project Community Services, Inc | Substance Abuse Rehabilitation Facility | 764 E 176th St, Bronx, NY 10460-4606 | 2016-08-20 |
| 1457961344 | Megan Caridad Alvarez | Counselor | 764 E 176th St, Bronx, NY 10460-4606 | 2020-08-05 |
| 1649806456 | Althea Vanessa Session Lovett | Counselor | 764 E 176th St, Bronx, NY 10460-4606 | 2020-03-13 |
| 1124653449 | Eboni Nicole Faulkner | Counselor | 764 E 176th St, Bronx, NY 10460-4606 | 2020-03-06 |
| 1710548565 | Abdoulaye Samb | Counselor | 764 E 176th St, Bronx, NY 10460-4606 | 2019-06-24 |
| 1568023315 | Chad Orr | Counselor | 764 E 176th St, Bronx, NY 10460-4606 | 2019-06-24 |
| 1508320847 | Jasmine Felicia Chin | Licensed Practical Nurse | 764 E 176th St, Bronx, NY 10460-4606 | 2019-01-30 |
| 1477026789 | Omar Jarvis | Counselor | 764 E 176th St, Bronx, NY 10460-4606 | 2019-01-09 |
| 1629576616 | Denise N/a Robinson | Counselor | 764 E 176th St, Bronx, NY 10460-4606 | 2018-01-25 |
| 1639603327 | Ramon Mercado | Counselor | 764 E 176th St, Bronx, NY 10460-4606 | 2017-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306488044 | Alyssa Lopez | Occupational Therapy Assistant | 1909 Longfellow Ave, Bronx, NY 10460 | 2019-10-15 |
| 1730743287 | Kailey Brianne Sabel | Occupational Therapist | 1899 Longfellow Avenue, Bronx, NY 10460 | 2019-04-30 |
| 1386208585 | Audrey Lachapelle | Dentist | 1400 Pelham Parkway South, Building 1, Room 3ne-1, Bronx Jacobi Medical Center, Department Of, New York City, NY 10460 | 2019-04-24 |
| 1174093041 | Temika Codrington | Registered Nurse | 2103-5 Honeywell Ave., 3n, Bronx, NY 10460 | 2018-12-04 |
| 1306323084 | Uhc Adult Day Program & Transport Services Inc | Clinic/Center | 1490 Crotona Parkway East, Bronx, NY 10460 | 2018-07-25 |
| 1316440969 | Lcm Livery Pu Inc | Taxi | 1466 Beach Ave 12a, Bronx, NY 10460 | 2018-03-09 |
| 1104348051 | Vivianet De La Cruz | Specialist | 1909 Longfellow Avenue, Bronx, NY 10460 | 2017-07-12 |
| 1932631801 | Alquimedez Mental Health Counseling, Pllc | Counselor | 1154 East Tremont Ave., Alquimedez Mental Health Counseling, Pllc, Bronx, NY 10460 | 2017-03-30 |
| 1013463652 | Angelica Beato | Nurse Practitioner | 1154 East Tremont Avenue, Bronx, NY 10460 | 2016-09-01 |
| 1114396827 | Wendy I Valdez | Social Worker | 901 East 172nd St., 3rd Floor, Bronx, NY 10460 | 2015-09-23 |
| Find all providers in zip 10460 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740727890 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 1381 Dr Martin Luther King Jr Blvd, Bronx, NY 10452 | 2017-01-27 |
| 1053866954 | Vocational Instruction Project Community Services, Inc | Substance Abuse Rehabilitation Facility | 764 E 176th St, Bronx, NY 10460-4606 | 2016-08-20 |
| 1013126804 | Carmen M. Alvira | Substance Abuse Rehabilitation Facility | 1674 Boston Rd, Apt. 1-b, Bronx, NY 10460-4906 | 2007-05-21 |
| 1013126754 | Elizabeth Fulton | Substance Abuse Rehabilitation Facility | 1360 Clinton Ave, Apt. 2-d, Bronx, NY 10456-2535 | 2007-05-21 |
| 1114468220 | Vip Community Servces | Substance Abuse Rehabilitation Facility | 764 E 176th St, Bronx, NY 10460-4606 | 2017-03-09 |
| 1023411188 | Joshua Hayward | Substance Abuse Rehabilitation Facility | 1600 Macombs Rd, Bronx, NY 10452-2016 | 2014-10-03 |
| 1528471984 | Starhill | Substance Abuse Rehabilitation Facility | 1600 Macombs Rd, Bronx, NY 10452-2016 | 2014-06-03 |
| 1023259769 | Janice E. Clemons | Substance Abuse Rehabilitation Facility | 321 E Tremont Ave, Bronx Lebanon Hospital, Bronx, NY 10457 | 2009-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337224 | Council On Addiction Recovery Services, Inc. | Substance Abuse Rehabilitation Facility | 1355 Olean-portville Road, Westons Mills, NY 14788-1476 | 2020-02-05 |
| 1528609799 | Ebdk At Calverton | Substance Abuse Rehabilitation Facility | 525 Jan Way, Calverton, NY 11933-3005 | 2019-09-30 |
| 1124679998 | Resource Recovery Center of Orange County LLC | Substance Abuse Rehabilitation Facility | 68 Crystal Run Rd, Middletown, NY 10941-7100 | 2019-09-24 |
| 1326506064 | Mountainside - Huntington | Substance Abuse Rehabilitation Facility | 141 E Main St Ste 2, Huntington, NY 11743-2850 | 2019-03-12 |
| 1023589090 | Argus Community, Inc. | Substance Abuse Rehabilitation Facility | 2015-25 Madison Avenue, 4th Floor, New York, NY 10035-1015 | 2018-12-16 |
| 1578030797 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave, Albany, NY 12206-2408 | 2018-10-25 |
| 1467949867 | Ocean Recovery East LLC | Substance Abuse Rehabilitation Facility | 113 E 60th St, New York, NY 10022-1939 | 2018-04-20 |
| 1578050944 | Elev8 Center New York, LLC | Substance Abuse Rehabilitation Facility | 151 W 136th St, New York, NY 10030-2606 | 2018-04-20 |
| 1518491174 | Aaron Smith | Substance Abuse Rehabilitation Facility | 460 Brielle Ave, Building H, Staten Island, NY 10314 | 2017-04-20 |
| 1346772019 | Catholic Charities of The Diocese of Rockville Centre | Substance Abuse Rehabilitation Facility | 30 Carlough Rd Ste C, Bohemia, NY 11716-2919 | 2017-03-31 |
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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.