SAMARITAN DAYTOP VILLAGE (NPI# 1245777390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245777390 |
| Entity Type | Organization |
| Organization Name | SAMARITAN DAYTOP VILLAGE |
| Practice Address |
767 Cape Rd Ellenville NY 12428 |
| Mailing Address |
13802 Queens Blvd Briarwood NY 11435-2642 |
| Practice Telephone | 7182062000 |
| Practice Fax Number | 7182064055 |
| Mailing Telephone | 7182062000 |
| Mailing Fax Number | 7182064055 |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |
| Authorized Official Name | JAMES HOLLYWOOD (VP, RESIDENTIAL TREATMENT) |
| Authorized Official Telephone | 7182062000 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 180311878 | NY | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICAID | 00245309 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053858100 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 119 W 160th St, Ny, NY 10025 | 2017-01-27 |
| 1558808618 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 130-15 89th Rd, Richmond Hill, NY 11418 | 2017-01-27 |
| 1538606686 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 68 West 106th St, Ny, NY 10025 | 2017-01-27 |
| 1922545086 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 88-83 Van Wyck Expressway, Jamaica, NY 11435 | 2017-01-27 |
| 1740727890 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 1381 Dr Martin Luther King Jr Blvd, Bronx, NY 10452 | 2017-01-27 |
| 1174069264 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 327 W 43rd St, New York, NY 10036-6406 | 2017-01-12 |
| 1164930848 | Samaritan Daytop Village | Social Worker | 2780 3rd Ave, Bronx, NY 10455-4029 | 2018-01-17 |
| 1285171348 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 130-20 89th Rd, Richmond Hill, NY 11418 | 2017-01-27 |
| 1689111734 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 751 Briggs Highway, Ellenville, NY 12428 | 2017-01-27 |
| 1417494568 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 751 Briggs Highway, Ellenville, NY 12428 | 2017-01-27 |
| Street Address |
767 CAPE RD |
| City | ELLENVILLE |
| State | NY |
| Zip Code | 12428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043637101 | Rachel Hill | Registered Nurse | 767 Cape Rd, Ellenville, NY 12428-5710 | 2014-03-26 |
| 1275005027 | Shanique Yevette Speight | Licensed Practical Nurse | 767 Cape Rd, Ellenville, NY 12428-5710 | 2018-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649789900 | Finding My Solutions LLC | Clinic/Center | 4 Glenwood Drive, Ellenville, NY 12428 | 2017-09-29 |
| 1356864128 | Joseph and Elena Tompkins | Taxi | 73 Center Street, 73 Center Street - Po Box 222, Ellenville, NY 12428 | 2017-07-24 |
| 1598130296 | Joyce Valdez | Licensed Practical Nurse | 80 Wintish Road, Ellenville, NY 12428 | 2015-12-07 |
| 1386943389 | Angela Dinozzi | Social Worker | 83 North Main Street, Ellenville, NY 12428 | 2011-03-17 |
| 1396984001 | Krystyna W. Slosarska | Dentist | 55 Center Street, Ellenville, NY 12428 | 2009-02-19 |
| 1063676336 | Jessica J Richmond | Licensed Practical Nurse | 11 Rear Chapel St, Ellenville, NY 12428 | 2008-07-15 |
| 1447332697 | Damian Family Care Centers, Inc. | Clinic/Center | 751 Briggs Highway, Ellenville, NY 12428 | 2006-10-19 |
| 1316032964 | Julie S Lonstein | Counselor | 1 Terrace Hill, Ellenville, NY 12428 | 2006-10-03 |
| 1871687384 | Walter Leonard Sperling | Internal Medicine | 60 Center Street, Ellenville, NY 12428 | 2006-10-02 |
| 1770537623 | Sang Eun Lee | Physical Therapist | 10 Healthy Way, Ellenville, NY 12428 | 2006-05-22 |
| Find all providers in zip 12428 | ||||
| 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 |
|---|---|---|---|---|
| 1689111734 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 751 Briggs Highway, Ellenville, NY 12428 | 2017-01-27 |
| 1417494568 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 751 Briggs Highway, Ellenville, NY 12428 | 2017-01-27 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | ELLENVILLE |
| Zip Code | 12428 |
Please comment or provide details below to improve the information on SAMARITAN DAYTOP VILLAGE.
| 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.