BAKER VICTORY SERVICES (NPI# 1396956462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396956462 |
| Entity Type | Organization |
| Organization Name | BAKER VICTORY SERVICES |
| Practice Address |
150 Martin Road Lackawanna NY 14218 |
| Mailing Address |
780 Ridge Road Lackawanna NY 14218 |
| Practice Telephone | 7168289751 |
| Mailing Telephone | 7168289751 |
| Mailing Fax Number | 7168289450 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2015-11-12 |
| Authorized Official Name | MS. TERESE M SCOFIDIO (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7168289515 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 7577040 | NY | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00824415 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447461876 | Baker Victory Services | Nursing Facility/Intermediate Care Facility | 180 Martin Road, Lackawanna, NY 14218 | 2007-05-25 |
| 1083867204 | Baker Victory Services | Community Based Residential Treatment Facility, Mental Illness | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2008-10-31 |
| 1205047370 | Baker Victory Services | Nursing Facility/Intermediate Care Facility | 150 Martin Road, Lackawanna, NY 14218 | 2007-05-24 |
| 1114138286 | Baker Victory Services | Nursing Facility/Intermediate Care Facility | 150 Martin Road, Lackawanna, NY 14218 | 2007-05-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BAKER VICTORY SERVICES | 790 Ridge Rd, Buffalo, NY 14218-1629 |
| Street Address |
150 MARTIN ROAD |
| City | LACKAWANNA |
| State | NY |
| Zip Code | 14218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205047370 | Baker Victory Services | Nursing Facility/Intermediate Care Facility | 150 Martin Road, Lackawanna, NY 14218 | 2007-05-24 |
| 1114138286 | Baker Victory Services | Nursing Facility/Intermediate Care Facility | 150 Martin Road, Lackawanna, NY 14218 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811419765 | Jennifer Lynn Cuneo | Nurse Practitioner | 20 Maryknoll Dr, Lackawanna, NY 14218 | 2017-07-12 |
| 1144579251 | Jennifer Jalil-contreras | Social Worker | 33 Wilkesbarre Avenue, Lackawanna, NY 14218 | 2012-09-05 |
| 1578833323 | Buffalo Synapse Support, LLC | Specialist/Technologist, Other | 609 Ridge Road, Lackawanna, NY 14218 | 2012-01-11 |
| 1851546097 | Rania Karam-bayoumi | Family Medicine | 227 Ridge Road, Lackawanna, NY 14218 | 2008-12-01 |
| 1548427552 | Jennifer Anne Molea | Specialist | 1025 Ridge Road, Lackawanna, NY 14218 | 2008-05-19 |
| 1649481904 | Richard Edwin Zambron | Dentist | 1243 Ridge Road, Lackawanna, NY 14218 | 2007-05-25 |
| 1447461876 | Baker Victory Services | Nursing Facility/Intermediate Care Facility | 180 Martin Road, Lackawanna, NY 14218 | 2007-05-25 |
| 1245352921 | Baker Hall | Day Training, Developmentally Disabled Services | 650 Ridge Road, Lackawanna, NY 14218 | 2007-04-04 |
| 1730210238 | Brandi Arcara | Counselor | 2600 South Park Avenue, Parkview Center, Lackawanna, NY 14218 | 2007-03-08 |
| 1184760464 | Chauncey Young | Counselor | Lackawanna Counseling Daasp, 2600 South Park Avenue, Lackawanna, NY 14218 | 2007-01-30 |
| Find all providers in zip 14218 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265092514 | Head Start Housing and Rehabilitation Corporation | Psychiatric Residential Treatment Facility | 3818 Church Ave Apt 1b, Brooklyn, NY 11203-2907 | 2019-06-18 |
| 1780132910 | Center for Discovery | Psychiatric Residential Treatment Facility | 3 Sunset Ave, East Quogue, NY 11942-4201 | 2016-09-16 |
| 1083004907 | Roger G Levine Md | Psychiatric Residential Treatment Facility | 4914 West Seneca Turnpkie, Syracuse, NY 13215 | 2015-01-30 |
| 1164763348 | Nys Office of Mental Health | Psychiatric Residential Treatment Facility | 305 Plymouth Ct, Uniondale, NY 11553-1930 | 2013-03-12 |
| 1275837692 | Eihab Human Services, Inc | Psychiatric Residential Treatment Facility | 16818 S Conduit Ave, Jamaica, NY 11434-4806 | 2010-12-28 |
| 1659681138 | Eihab Human Services, Inc. | Psychiatric Residential Treatment Facility | 1200 State Route 92 South, Tunkhannock, NY 18657 | 2010-10-18 |
| 1316080468 | Hopevale Inc. | Psychiatric Residential Treatment Facility | 3780 Howard Rd, Hamburg, NY 14075-2252 | 2007-02-15 |
| 1427198209 | Concern for Independent Living, Inc. | Psychiatric Residential Treatment Facility | 312 Expressway Drive South, Medford, NY 11763 | 2007-02-08 |
| 1568561298 | The Renfrew Centers, Inc. | Psychiatric Residential Treatment Facility | 38 E. 32nd Street, 10th Floor, New York, NY 10016 | 2006-09-21 |
| 1396786695 | Bay Medical Care P.C. | Psychiatric Residential Treatment Facility | 7612 Bay Pkwy, Suite# B, Brooklyn, NY 11214-1516 | 2006-06-09 |
| Find all providers with the same taxonomy | ||||
| City | LACKAWANNA |
| Zip Code | 14218 |
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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.