187 COTTAGE AVENUE CORP (NPI# 1447663067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447663067 |
| Entity Type | Organization |
| Organization Name | 187 COTTAGE AVENUE CORP |
| Other Organization Name | CHESTER HILL ADULT HOME |
| Practice Address |
187 Cottage Ave Mount Vernon NY 10550-1446 |
| Practice Telephone | 9146645046 |
| Mailing Telephone | 9146645046 |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |
| Authorized Official Name | MR. DAVID ELISHA GRANT JR. (ADMINISTRATOR) |
| Authorized Official Telephone | 9146994294 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 800-F-986 | NY | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Chester Hill Adult Home | Doing Business As Name - Organization |
| Street Address |
187 COTTAGE AVE |
| City | MOUNT VERNON |
| State | NY |
| Zip Code | 10550-1446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487240 | Jacqueline Marshall | Technician | 144 South 2nd Avenue 2c, Mount Vernon, West Chester, NY 10550 | 2020-05-05 |
| 1023529369 | B.t.m. Psychiatric Np Services, Pllc | Nurse Practitioner | 11 W Prospect Ave, 3rd Fl, Suite #5b, Mount Vernon, NY 10550 | 2017-10-13 |
| 1669994174 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 500 E Sanford Blvd, Mount Vernon, NY 10550 | 2017-07-17 |
| 1053869198 | Teresa Turriago I | Social Worker | 487 S. Broadway, Yonkers, New York, NY 10550 | 2016-09-19 |
| 1811340862 | Marcia Samuels Nembhard | Licensed Practical Nurse | 1 Gray Place Apt 4-d, Mount Vernon, NY 10550 | 2016-07-14 |
| 1043665318 | Marshalee Mullings | Registered Nurse | 70 E 4th Street, 2c, Mount Vernon, NY 10550 | 2016-04-25 |
| 1518333228 | Humanities Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 100 Stevens Avenue, Mount Vernon, NY 10550 | 2015-08-17 |
| 1851779458 | Maila Catolico | Registered Nurse | 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 | 2015-05-14 |
| 1003203266 | Priscilla A. Severe | Registered Nurse | 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 | 2015-04-24 |
| 1477963254 | Imani Ife Campbell | Licensed Practical Nurse | 323 South 10th Ave, Mt. Vernon, NY 10550 | 2014-05-02 |
| Find all providers in zip 10550 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194036665 | Spero Family Services | Community Based Residential Treatment Facility, Mental Illness | 2023 Richview Rd, Mount Vernon, IL 62864-2884 | 2010-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922661784 | Greater Horizons, House Inc. | Community Based Residential Treatment Facility, Mental Illness | 25 Indian Rd Apt 6f, New York, NY 10034-1018 | 2019-04-17 |
| 1013474113 | Hope House On Crotona Park, LLC | Community Based Residential Treatment Facility, Mental Illness | 853 Crotona Park N, Bronx, NY 10460-4701 | 2019-02-25 |
| 1457825135 | Eating Disorder Treatment of New York, LLC | Community Based Residential Treatment Facility, Mental Illness | 1 Saint Andrews Ln, Glen Cove, NY 11542-2221 | 2019-01-16 |
| 1679011530 | Nando Pelusi, Phd | Community Based Residential Treatment Facility, Mental Illness | 305 Hicks Street, 2, Brookyn, NY 11201 | 2017-02-10 |
| 1245684729 | William F Ryan Community Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 138 W 143rd St, New York, NY 10030-1615 | 2016-04-20 |
| 1205280955 | William F Ryan Community Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 22 Convent Ave, New York, NY 10027-2604 | 2016-04-19 |
| 1245602838 | Nyeshia Skipwith | Community Based Residential Treatment Facility, Mental Illness | 37 Titmus Dr, Mastic, NY 11950-2011 | 2015-10-22 |
| 1235542135 | Erin Faryna | Community Based Residential Treatment Facility, Mental Illness | 51 Rossler Ave, Cheektowaga, NY 14206-2409 | 2014-06-09 |
| 1508280504 | Advanced Therapeutic Solutions | Community Based Residential Treatment Facility, Mental Illness | 1731 61st St Apt 4, Brooklyn, NY 11204-2219 | 2014-02-11 |
| 1194163147 | Areivim | Community Based Residential Treatment Facility, Mental Illness | 20 Briarcliff Dr, Monsey, NY 10952 | 2013-06-12 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 10550 |
Please comment or provide details below to improve the information on 187 COTTAGE AVENUE CORP.
| 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.