SAMARITAN VILLAGE (NPI# 1104298363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104298363 |
| Entity Type | Organization |
| Organization Name | SAMARITAN VILLAGE |
| Practice Address |
528 Morris Ave Bronx NY 10451 |
| Mailing Address |
138-02 Queens Blvd Briarwood NY 11435 |
| Practice Telephone | 7182924640 |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2016-04-29 |
| Authorized Official Name | CHARLES MADRAY (VP OF HEALTH SERVICES & COMMUNITY B) |
| Authorized Official Telephone | 7182062000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00245309 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922470426 | Samaritan Village | Exclusive Provider Organization | 302 E 119th St Apt 4b, New York, NY 10035-4213 | 2015-10-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAMARITAN VILLAGE APARTMENTS | 3360 N Collister Dr, Boise, ID 83703-3355 |
| System for Award Management (SAM) Entities | SAMARITAN VILLAGE INC | 5420 Ira St, Orlando, FL 32807-1719 |
| Oregon Corporations, Companies and Business Names | SAMARITAN VILLAGE, INC. | 285 Nw 35th St, Corvallis, OR 97330 |
| Street Address |
528 MORRIS AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346610714 | Shirley Coleman Hensford | Social Worker | 528 Morris Ave, Bronx, NY 10451-5509 | 2015-09-29 |
| 1851761563 | Deneal Lawson | Marriage & Family Therapist | 528 Morris Ave, Bronx, NY 10451-5509 | 2015-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221426 | Milena Boursiquot | Counselor | 240 Walton Ste 2n, Bronx, NY 10451 | 2020-10-08 |
| 1467065466 | Armghan Azhar Azhar Munir | Student in an Organized Health Care Education/Training Program | Lincoln Medical Center, 234 E149th St, New York City, NY 10451 | 2020-08-28 |
| 1013529486 | Ariane Tapang Yangco | Student in an Organized Health Care Education/Training Program | 234 East 149th St., Lincoln Medical and Mental Center, Internal Medicine De, New York, NY 10451 | 2020-08-18 |
| 1134730377 | Sherida N Edding | Student in an Organized Health Care Education/Training Program | 234 E 149th Street, Bronx, New York City, NY 10451 | 2020-08-12 |
| 1922617646 | Tian Fang Yu | Student in an Organized Health Care Education/Training Program | 234 E 149th St., The Bronx, NY 10451 | 2020-07-28 |
| 1659998037 | Amnah Khalid | Student in an Organized Health Care Education/Training Program | 234 East 149st, 820, Bronx, NY 10451 | 2020-07-01 |
| 1871116277 | Sebastian Andres Gandarillas Fraga | Student in an Organized Health Care Education/Training Program | 234 E. 149 Street, Suite 820, New York, NY 10451 | 2020-05-20 |
| 1285257642 | Javier Alejandro Castro Valenzuela | Student in an Organized Health Care Education/Training Program | 243 East 149th Street, Suite 4-20, The Bronx, NY 10451 | 2020-05-20 |
| 1992331482 | Montefiore Medical Center | Clinic/Center | 250 Thurman Munson Way #236, Bronx, NY 10451 | 2020-03-17 |
| 1235761958 | Kellie Gevon Mcfarlane | Psychologist | Lincoln Hospital, Child Adolescent Psychiatric Services, 234 East 149th Street, Floor 4a, Room 4-83, Bronx, NY 10451 | 2020-02-11 |
| Find all providers in zip 10451 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093187254 | Samaritan Daytop Village, Inc. | Clinic/Center | 2778 Third Avenue, Bronx, NY 10455 | 2015-10-28 |
| 1831507573 | Nathaniel Chambers | Clinic/Center | 801 Saint Anns Ave, Bronx, NY 10456-7648 | 2014-07-25 |
| 1891082004 | Palladia Incorporated | Clinic/Center | 1366 Inwood Ave, Bronx, NY 10452-3203 | 2011-07-08 |
| 1831377407 | Vertex LLC | Clinic/Center | 1080 E Gun Hill Rd, Bronx, NY 10469-3742 | 2008-02-06 |
| 1649474552 | Arms Acres Inc | Clinic/Center | 3584 Jerome Ave., Bronx, NY 10467-1052 | 2007-06-13 |
| 1205957297 | Samaritan Daytop Village, Inc. | Clinic/Center | 900 Arnow Avenue, Bronx, NY 10469 | 2007-04-03 |
| 1508849993 | Puerto Rican Organization To Motivate Enlighten and Serve Addicts Inc | Clinic/Center | 1776 Clay Avenue, Bronx, NY 10457 | 2005-11-21 |
| 1417571639 | Samaritan Daytop Village, Inc. | Clinic/Center | 3050 White Plains Road, Bronx, NY 10467 | 2020-06-03 |
| 1548710379 | Samaritan Daytop Village | Clinic/Center | 900 Arnow Ave, Bronx, NY 10469-3906 | 2016-10-05 |
| 1659797280 | Albert Enistein College of Medicine | Clinic/Center | 1510 Waters Pl, Bronx, NY 10461-2700 | 2014-03-06 |
| Find all providers in BRONX | ||||
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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.