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).
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 |
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 |
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 |
Street Address |
291 ELM ST |
City | BUFFALO |
State | NY |
Zip Code | 14203 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 14203 |
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 |
---|---|---|---|---|
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 |
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 |
Please comment or provide details below to improve the information on ALCOHOL & DRUG DEPENDENCY SERVICES, INC..
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.