URBAN RECOVERY HOUSE LLC (NPI# 1174096267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174096267 |
| Entity Type | Organization |
| Organization Name | URBAN RECOVERY HOUSE LLC |
| Practice Address |
411 Van Brunt St Brooklyn NY 11231-1008 |
| Practice Telephone | 6469609976 |
| Mailing Telephone | 6469609976 |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |
| Authorized Official Name | DENISE BERTON-EPP (CEO) |
| Authorized Official Telephone | 7434769931 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | URBAN RECOVERY HOUSE LLC | 1074 Broadway Suite 121, Woodmere, Ny 11598 |
| Street Address |
411 VAN BRUNT ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11231-1008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750349502 | Kimberly A Mallin | Family Medicine | 411 Van Brunt St, Brooklyn, NY 11231 | 2006-05-02 |
| 1386255735 | Olivia Hayes | Nurse Practitioner | 411 Van Brunt St, Brooklyn, NY 11231-1008 | 2020-08-10 |
| 1689219677 | Joseph Turkel | Substance Abuse Rehabilitation Facility | 411 Van Brunt St, Brooklyn, NY 11231-1008 | 2019-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230395 | Delta Holly Hunter | Social Worker | 295 Smith Street, Brooklyn, NY 11231 | 2020-06-23 |
| 1306482021 | Sara Teta | Psychologist | 436 Court Street # 7, Brooklyn, NY 11231 | 2019-11-19 |
| 1306327291 | Dana Freed | Psychologist | 436 Court Street, Brooklyn, NY 11231 | 2018-08-28 |
| 1134653470 | Juwana Trisvan | Community/Behavioral Health | 624 Clinton Street, Brooklyn, NY 11231 | 2017-04-13 |
| 1609248442 | Janice Theresa Foster | Pharmacist | 395 Court Street, Brooklyn, NY 11231 | 2015-10-20 |
| 1568857761 | Karen Calvarino | Specialist | 51a Douglass Street, Brooklyn, NY 11231 | 2015-04-03 |
| 1780098715 | Madeline Peikes | Doula | 74 Dikeman Street, Brooklyn, NY 11231 | 2014-06-18 |
| 1275946790 | Edward Mcshane | Physician Assistant | 298a Carroll St., Brooklyn, NY 11231 | 2014-06-03 |
| 1932446531 | London A. King | Health Educator | 85 1/2 3rd Place, Apt. 1, Brooklyn, NY 11231 | 2013-01-16 |
| 1578810883 | Joseph P. Addabbo Family Health Center, Inc. | Clinic/Center | 120 Richards Street, Brooklyn, NY 11231 | 2012-08-07 |
| Find all providers in zip 11231 | ||||
| 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 |
|---|---|---|---|---|
| 1942745088 | Resource Beacon of Hope, LLC | Substance Abuse Rehabilitation Facility | 449 39th St # 3, Brooklyn, NY 11232-2909 | 2016-12-28 |
| 1851840185 | Anchor House, Inc. | Substance Abuse Rehabilitation Facility | 976 Park Pl, Brooklyn, NY 11213-1803 | 2016-09-28 |
| 1790115897 | Ians Consulting | Substance Abuse Rehabilitation Facility | 805 E New York Ave, Apt.2f, Brooklyn, NY 11203-1293 | 2013-11-26 |
| 1760748479 | Saint P.a.u.l.s. Inc. | Substance Abuse Rehabilitation Facility | 361 Vernon Ave, Brooklyn, NY 11206-6701 | 2012-04-06 |
| 1083929152 | Anytime Business Assistant | Substance Abuse Rehabilitation Facility | 16 E 42nd St, Suite 2, Brooklyn, NY 11203-2109 | 2010-08-13 |
| 1033438023 | Akirinja Corp | Substance Abuse Rehabilitation Facility | 1669 Dean St, Brooklyn, NY 11213-1707 | 2010-05-31 |
| 1306035670 | Yatzkan Center, Inc. | Substance Abuse Rehabilitation Facility | 19 Duryea Pl, Brooklyn, NY 11226-5426 | 2007-10-23 |
| 1760675359 | El Regreso, Inc. | Substance Abuse Rehabilitation Facility | 728 Driggs Ave, Brooklyn, NY 11211-4343 | 2007-08-27 |
| 1134242910 | 820 River Street Inc. | Substance Abuse Rehabilitation Facility | 1140 Pacific St, Brooklyn, NY 11216-2901 | 2007-04-09 |
| 1689219677 | Joseph Turkel | Substance Abuse Rehabilitation Facility | 411 Van Brunt St, Brooklyn, NY 11231-1008 | 2019-11-13 |
| Find all providers in BROOKLYN | ||||
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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.