ALCOHOL & DRUG DEPENDENCY SERVICES, INC.


Address: 291 Elm St, Buffalo, NY 14203
Phone: 7168542977

ALCOHOL & DRUG DEPENDENCY SERVICES, INC. (NPI# 1396863445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396863445
Entity Type Organization
Organization Name ALCOHOL & DRUG DEPENDENCY SERVICES, INC.
Practice Address 291 Elm St
Buffalo
NY 14203
Mailing Address 291 Elm Street
Buffalo
NY 14203
Practice Telephone 7168542977
Practice Fax Number 7168543293
Mailing Telephone 7168542977
Mailing Fax Number 7168542039
Enumeration Date 2007-03-27
Last Update Date 2018-08-17
Authorized Official Name MRS. KAREN F. HARDICK (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 7168542997
Authorized Official Credential CPA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 324500000X Substance Abuse Rehabilitation Facility 090411448 NY Residential Treatment Facilities
N 324500000X Substance Abuse Rehabilitation Facility 050410478 NY Residential Treatment Facilities
N 324500000X Substance Abuse Rehabilitation Facility 070610167 NY Residential Treatment Facilities
N 324500000X Substance Abuse Rehabilitation Facility 061110163 NY Residential Treatment Facilities
N 324500000X Substance Abuse Rehabilitation Facility 070410164 NY Residential Treatment Facilities
N 324500000X Substance Abuse Rehabilitation Facility 080410651 NY Residential Treatment Facilities
N 324500000X Substance Abuse Rehabilitation Facility 070910477 NY Residential Treatment Facilities
N 324500000X Substance Abuse Rehabilitation Facility 080111248 NY Residential Treatment Facilities
N 324500000X Substance Abuse Rehabilitation Facility 08045448 NY Residential Treatment Facilities
N 324500000X Substance Abuse Rehabilitation Facility 070410478 NY Residential Treatment Facilities
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY 00-689-703 05
NY UNIVERA 00011265201 01
NY BLUE CROSS & BLUE SHIELD 000000818000 01
NY MBC- GREEN SPRINGS 075003-000 01
NY INDEPENDENT HEALTH-IHA 8406733 01
NY MERIT BEHAVIORAL CARE-CMG 075003-000 01
NY MBC-MEGELLIN 075003-000 01

Office Location

Street Address 291 ELM ST
City BUFFALO
State NY
Zip Code 14203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295334605 Chelsea Woods Registered Nurse 291 Elm St, Buffalo, NY 14203-1621 2020-10-19
1528665395 Stephanie Baldo Registered Nurse 291 Elm St, Buffalo, NY 14203-1621 2020-10-05
1467063123 Michaela Mccall Counselor 291 Elm St, Buffalo, NY 14203-1621 2020-08-14
1235749565 Emily Ryan Registered Nurse 291 Elm St, Buffalo, NY 14203-1621 2020-08-02
1124642467 Andrew Ryan Warren Registered Nurse 291 Elm St, Buffalo, NY 14203-1621 2020-06-02
1144857046 Victoria Raber Registered Nurse 291 Elm St, Buffalo, NY 14203-1621 2020-03-23
1306471214 Mary Lynn Price Counselor 291 Elm St, Buffalo, NY 14203-1621 2020-03-11
1477185585 Shayna Perdue Registered Nurse 291 Elm St, Buffalo, NY 14203-1621 2020-02-06
1689204117 Omeed Hope Fathi Counselor 291 Elm St, Buffalo, NY 14203-1621 2020-01-23
1740829571 Stephanie L Tyrpak Counselor 291 Elm St, Buffalo, NY 14203-1621 2019-12-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912514902 Valerie Anne Conley Counselor 475 Elllicott St., Buffalo, NY 14203 2020-09-24
1457975674 Qing Ma Pharmacist Nys Center of Excellence In Bioinformatics and Life Sci, 701 Ellicott Street, Buffalo, NY 14203 2020-06-03
1265056659 Elizabeth Nicole Mancuso Student in an Organized Health Care Education/Training Program 1001 Main Street University At Buffalo, Department of P, 5th Floor, Buffalo, NY 14203 2020-06-02
1720601404 Ronak Dhiraj Bahuva Student in an Organized Health Care Education/Training Program 955 Main Street, University At Buffalo, Jacobs School O, Buffalo, NY 14203 2020-05-28
1780207266 Jaya Mishra Student in an Organized Health Care Education/Training Program 818 Ellicot Street, Buffalo, NY 14203 2020-05-19
1013530617 Amanpreet Kaur Singh Student in an Organized Health Care Education/Training Program 77 Goodell Street Department of Medicine, Suite 240, Buffalo, NY 14203 2020-05-19
1013538917 Leen Hosam Alyacoub Student in an Organized Health Care Education/Training Program 100 High Street, D2-76 Buffalo, Ny 14203, Buffalo Gener, Buffall, NY 14203 2020-05-01
1003436601 Maxiam Dean Student in an Organized Health Care Education/Training Program Ub Family Residency Program, 77 Goodell Street, 2nd Floor, Buffalo, NY 14203 2020-04-23
1144849837 Jennifer Anthone-kloss Student in an Organized Health Care Education/Training Program Anesthesiology Residency & Fellowship Programs, Ub Gateway, 77 Goodell Street, Suite 550, Buffalo, NY 14203 2020-04-13
1821658873 Peter William Ip Fung Chun Student in an Organized Health Care Education/Training Program 1001 Main Street, Room 5145, Division of Pediatric Medical Education, Buffalo, NY 14203 2019-06-20
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467836486 Cazenovia Recovery Systems, Inc. Substance Abuse Rehabilitation Facility 2671 Main St, Buffalo, NY 14214-2030 2015-07-20
1902286149 Cazenovia Recovery Systems, Inc. Substance Abuse Rehabilitation Facility 923 Sycamore St, Buffalo, NY 14212-1339 2015-06-03
1447669742 Cazenovia Recovery Systems, Inc. Substance Abuse Rehabilitation Facility 200 Albany St, Buffalo, NY 14213-1801 2014-08-12
1881003192 Cazenovia Recovery Systems, Inc. Substance Abuse Rehabilitation Facility 486 N Legion Dr, Buffalo, NY 14210-2341 2014-08-12
1780093005 Cazenovia Recovery Systems, Inc. Substance Abuse Rehabilitation Facility 605 Fillmore Ave, Buffalo, NY 14212-1366 2014-08-12
1437565769 Bestself Behavioral Health, Inc Substance Abuse Rehabilitation Facility 232 Hempstead Ave # 262, Buffalo, NY 14215-3404 2014-07-08
1003225319 Cazenovia Recovery Systems, Inc. Substance Abuse Rehabilitation Facility 1430 Main St, Buffalo, NY 14209-1733 2014-08-12
1730256231 Horizon Village Substance Abuse Rehabilitation Facility 3020 Bailey Ave, Buffalo, NY 14215-2814 2006-11-29

Providers in the same taxonomy and state

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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Competitor

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City BUFFALO
Zip Code 14203

Improve Information

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Dataset Information

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.

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