820 RIVER STREET INC. (NPI# 1447372289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447372289 |
Entity Type | Organization |
Organization Name | 820 RIVER STREET INC. |
Other Organization Name | ELEANOR YOUNG CLINIC |
Practice Address |
134 Franklin St Albany NY 12202-1902 |
Practice Telephone | 5184658034 |
Mailing Telephone | 5184658034 |
Enumeration Date | 2007-04-04 |
Last Update Date | 2015-02-24 |
Authorized Official Name | MR. PETER YOUNG (CHIEF OPERATING OFFICER) |
Authorized Official Telephone | 5183772448 |
Authorized Official Credential | C.E.O |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 03007114 | 05 |
Other Name | Type Code |
---|---|
Eleanor Young Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134242910 | 820 River Street Inc. | Substance Abuse Rehabilitation Facility | 1140 Pacific St, Brooklyn, NY 11216-2901 | 2007-04-09 |
1518089630 | 820 River Street Inc. | Substance Abuse Rehabilitation Facility | 1180 Berne Altamont Rd., Altamont, NY 12009 | 2007-04-06 |
1760543672 | 820 River Street Inc. | Substance Abuse Rehabilitation Facility | 428 Duane Ave, Schenectady, NY 12304-2627 | 2006-12-13 |
1700908530 | 820 River Street Inc. | Substance Abuse Rehabilitation Facility | 551 Bay Rd, Queensbury, NY 12804-1441 | 2007-04-04 |
Street Address |
134 FRANKLIN ST |
City | ALBANY |
State | NY |
Zip Code | 12202-1902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497282131 | Beth Laddin | Social Worker | Thomas O'brien Academy of Science and Technology School, Lincoln Park/ Delaware Ave, Albany, NY 12202 | 2017-05-12 |
1326448275 | Trinity Alliance of The Capital Region | Substance Abuse Rehabilitation Facility | 3 Lincoln Square, Albany, NY 12202 | 2014-08-28 |
1053558205 | Thomas Edward Clark | Student in an Organized Health Care Education/Training Program | 980 Western Avenue, Albany, NY 12202 | 2009-01-09 |
1609992478 | Margaret E Priola | Registered Nurse | 326 So Pearl Street, St. Peter's Family Health Center, Albany, NY 12202 | 2007-03-22 |
1770637092 | City School District of Albany | Local Education Agency (LEA) | 1 Academy Park, Elk Street, Albany, NY 12202 | 2007-01-23 |
1023533460 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 310 S Pearl St, Albany, NY 12202 | 2017-08-07 |
1952821118 | Helen Theresa Mcdonald | Family Medicine | 326 S Pearl St, Albany, NY 12202 | 2017-06-20 |
1619320686 | Elizabeth Carcich | Social Worker | 260 South Pearl Street, Albany, NY 12202 | 2016-07-14 |
1295091114 | Juan Jose Santacruz | Counselor | 64 2nd Avenue, Albany, NY 12202 | 2012-04-04 |
1619307535 | Karen Johnson-williams | Social Worker | 105 Mount Hope Dr, Albany, NY 12202-1009 | 2013-11-13 |
Find all providers in zip 12202 |
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] |
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1326448275 | Trinity Alliance of The Capital Region | Substance Abuse Rehabilitation Facility | 3 Lincoln Square, Albany, NY 12202 | 2014-08-28 |
1083881395 | Agape Recovery Outreach | Substance Abuse Rehabilitation Facility | 212 W Residence Ave, Albany, GA 31701-2317 | 2008-05-15 |
1578615423 | Hospitality House Tc, Inc. | Substance Abuse Rehabilitation Facility | 271 Central Ave, Albany, NY 12206-2611 | 2007-01-18 |
1508258435 | The Next Step, Inc. | Substance Abuse Rehabilitation Facility | 2 Holland Ave, Albany, NY 12209-1761 | 2015-03-02 |
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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 |
1558893479 | Joseph Wilson | Substance Abuse Rehabilitation Facility | 273 Heberton Avenue, Staten Island, NY 10302 | 2017-03-30 |
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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.