SAMARITAN DAYTOP VILLAGE, INC. (NPI# 1205957297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205957297 |
Entity Type | Organization |
Organization Name | SAMARITAN DAYTOP VILLAGE, INC. |
Other Organization Name | DAYTOP VILLAGE, INC. |
Practice Address |
900 Arnow Avenue Bronx NY 10469 |
Mailing Address |
54 W 40th St New York NY 10018-2602 |
Practice Telephone | 7188221217 |
Practice Fax Number | 7185976151 |
Mailing Telephone | 2123546000 |
Mailing Fax Number | 2123823899 |
Enumeration Date | 2007-04-03 |
Last Update Date | 2016-04-29 |
Authorized Official Name | CHARLES MADRAY (VP OF HEALTH SERVICES & COMMUNITY B) |
Authorized Official Telephone | 7182062000 |
Authorized Official Credential | MBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
NY | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | DEPT OF HEALTH ART 28 CER | 7002121R | 01 |
NY | 00659687 | 05 |
Other Name | Type Code |
---|---|
Daytop Village, Inc. | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629440888 | Samaritan Daytop Village, Inc. | Clinic/Center | 2780 3rd Avenue, Bronx, NY 10455 | 2015-10-28 |
1093187254 | Samaritan Daytop Village, Inc. | Clinic/Center | 2778 Third Avenue, Bronx, NY 10455 | 2015-10-28 |
1982878757 | Samaritan Daytop Village, Inc. | Clinic/Center | 14401 Jamaica Ave, Jamaica, NY 11435-3601 | 2008-04-14 |
1134240344 | Samaritan Daytop Village, Inc. | Clinic/Center | 620 Route 303, Blauvelt, NY 10913-1170 | 2007-04-03 |
1548381767 | Samaritan Daytop Village, Inc. | Clinic/Center | 1915 Forest Ave, Staten Island, NY 10303-2127 | 2007-04-03 |
1831210038 | Samaritan Daytop Village, Inc. | Clinic/Center | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2007-04-03 |
1396822839 | Samaritan Daytop Village, Inc. | Substance Abuse Rehabilitation Facility | 13020 89th Rd, Richmond Hill, NY 11418-3301 | 2006-11-01 |
1245272772 | Samaritan Daytop Village, Inc. | Clinic/Center | 368 E 148th St, Bronx, NY 10455-4005 | 2006-06-11 |
1417571639 | Samaritan Daytop Village, Inc. | Clinic/Center | 3050 White Plains Road, Bronx, NY 10467 | 2020-06-03 |
1154795235 | Samaritan Daytop Village, Inc. | Clinic/Center | 250 Grand Concourse, Bronx, NY 10451-5430 | 2015-11-30 |
Street Address |
900 ARNOW AVENUE |
City | BRONX |
State | NY |
Zip Code | 10469 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
1437705720 | Wafaa Khoury | Behavioral Analyst | Important Steps,inc, 2447 Eastchester Road, Bronx, NY 10469 | 2019-08-13 |
1033775432 | Sally Mendoza | Licensed Practical Nurse | 2506 Woodhul Ave, Bronx, NY 10469 | 2019-05-13 |
1215495221 | Fasilat Ibrahim | Registered Nurse | 1117 Adee St, Bronx, NY 10469 | 2019-03-08 |
1467922096 | Patience Marku Kitcher | Registered Nurse | 954 East 211 Street, Bronx, NY 10469 | 2018-11-27 |
1316422546 | Leon Anibal Guzman | Registered Nurse | 3230 Paulding Ave 1fl, New York, NY 10469 | 2018-10-03 |
1205328358 | Yesenia A. Arias | Case Manager/Care Coordinator | 1501 Astor Ave., Suite 1a, Bronx, NY 10469 | 2018-06-05 |
1720578719 | Kimberly Carrion Alicea | Psychologist | 2323 Eastchester Rd #27, Bronx, NY 10469 | 2018-05-15 |
1235627993 | Kayon Donaldson | Nurse Practitioner | 2904 Yates Ave, Bronx, NY 10469 | 2018-04-27 |
1699280404 | Joyce Wallace | Specialist | 2825-2 Ely Avenue, Bronx, NY 10469 | 2017-12-04 |
Find all providers in zip 10469 |
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 |
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 |
1104298363 | Samaritan Village | Clinic/Center | 528 Morris Ave, Bronx, NY 10451 | 2015-10-28 |
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.