SAMARITAN DAYTOP VILLAGE (NPI# 1487191532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487191532 |
| Entity Type | Organization |
| Organization Name | SAMARITAN DAYTOP VILLAGE |
| Practice Address |
88 Fox Hollow Rd Rhinebeck NY 12572 |
| Mailing Address |
13802 Queens Blvd Briarwood NY 11435-2642 |
| Practice Telephone | 7182062000 |
| Practice Fax Number | 7182064055 |
| Mailing Telephone | 7182062000 |
| Mailing Fax Number | 7182064055 |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |
| Authorized Official Name | JAMES HOLLYWOOD (VP, RESIDENTIAL TREATMENT) |
| Authorized Official Telephone | 7182062000 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 161111954 | NY | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICAID | 00245309 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053858100 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 119 W 160th St, Ny, NY 10025 | 2017-01-27 |
| 1558808618 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 130-15 89th Rd, Richmond Hill, NY 11418 | 2017-01-27 |
| 1538606686 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 68 West 106th St, Ny, NY 10025 | 2017-01-27 |
| 1922545086 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 88-83 Van Wyck Expressway, Jamaica, NY 11435 | 2017-01-27 |
| 1740727890 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 1381 Dr Martin Luther King Jr Blvd, Bronx, NY 10452 | 2017-01-27 |
| 1174069264 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 327 W 43rd St, New York, NY 10036-6406 | 2017-01-12 |
| 1164930848 | Samaritan Daytop Village | Social Worker | 2780 3rd Ave, Bronx, NY 10455-4029 | 2018-01-17 |
| 1245777390 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 767 Cape Rd, Ellenville, NY 12428 | 2017-01-27 |
| 1285171348 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 130-20 89th Rd, Richmond Hill, NY 11418 | 2017-01-27 |
| 1689111734 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 751 Briggs Highway, Ellenville, NY 12428 | 2017-01-27 |
| Street Address |
88 FOX HOLLOW RD |
| City | RHINEBECK |
| State | NY |
| Zip Code | 12572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588767701 | Wendy L Watts | Social Worker | 88 Fox Hollow Rd, Rhinebeck, NY 12572 | 2006-09-06 |
| 1831592245 | Ellen Spagnoli | Registered Nurse | 88 Fox Hollow Rd, Rhinebeck, NY 12572-3639 | 2014-09-29 |
| 1497036305 | Annette Vaccaro | Registered Nurse | 88 Fox Hollow Rd, Rhinebeck, NY 12572-3639 | 2011-09-06 |
| 1336428309 | Suzanne Eileen Klare | Registered Nurse | 88 Fox Hollow Rd, Rhinebeck, NY 12572-3639 | 2011-08-09 |
| 1104117563 | Maryalice Waples | Registered Nurse | 88 Fox Hollow Rd, Rhinebeck, NY 12572-3639 | 2011-04-20 |
| 1306148952 | Kathleen Rose Ensor | Social Worker | 88 Fox Hollow Rd, Rhinebeck, NY 12572-3639 | 2010-12-01 |
| 1720236235 | Kathleen P Jokonis | Licensed Practical Nurse | 88 Fox Hollow Rd, Rhinebeck, NY 12572-3639 | 2008-09-09 |
| 1891943304 | Ella Florence Moore | Registered Nurse | 88 Fox Hollow Rd, Rhinebeck, NY 12572-3639 | 2008-09-09 |
| 1992974489 | Margaret Frances Wright | Licensed Practical Nurse | 88 Fox Hollow Rd, Rhinebeck, NY 12572-3639 | 2008-02-28 |
| 1912029497 | Daytop Village, Inc | Substance Abuse Rehabilitation Facility | 88 Fox Hollow Rd, Rhinebeck, NY 12572-3639 | 2007-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154934222 | Jennifer Lansky | Counselor | 7085 U.S. 9, Rhinebeck, NY 12572 | 2020-08-28 |
| 1619594942 | Aleena Shaukat | Student in an Organized Health Care Education/Training Program | 6511 Spring Brook Avenue, Rhinebeck, NY 12572 | 2020-07-02 |
| 1801315916 | Integral Psychology Circle | Psychologist | 6565 Spring Brook Avenue, Suite 5, Rhinebeck, NY 12572 | 2017-09-11 |
| 1982145769 | Patricia O'connell | Nurse Practitioner | 500 Milan Hollow Road, Rhinebeck, NY 12572 | 2017-03-14 |
| 1346629995 | Damian Family Care Centers, Inc. | Clinic/Center | 216 Fox Hollow Road, Rhinebeck, NY 12572 | 2015-05-28 |
| 1295167849 | Colleen Dunderdale | Registered Nurse | 6339 Mill Street, Aston, Rhinebeck, NY 12572 | 2013-08-06 |
| 1629348826 | Bonnie Lynn Murphy | Registered Nurse | 45 North Park Rd, Rhinebeck, NY 12572 | 2012-01-04 |
| 1750665568 | Patricia Webb Goodemote | Speech-Language Pathologist | 466 Schultzhill Road, Rhinebeck, NY 12572 | 2011-09-29 |
| 1558599852 | Linda Adepoju | Surgery | 6511 Spring Brook Ave Ste 1004, Rhinebeck, NY 12572 | 2009-06-24 |
| 1225271794 | Amanda Meglio | Acupuncturist | 6511 Springbrook Ave., 6, Rhinebeck, NY 12572 | 2009-04-14 |
| Find all providers in zip 12572 | ||||
| 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 |
|---|---|---|---|---|
| 1215074372 | Lori-anne Mitchell | Substance Abuse Rehabilitation Facility | 190 Foxhollow Road, Rhinebeck, NY 12572 | 2007-01-30 |
| 1518045681 | Daytop Village Inc. | Substance Abuse Rehabilitation Facility | 44 Springwood Drive, Rhinebeck, NY 12572 | 2006-11-02 |
| 1588101638 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 190 Fox Hollow Rd, Rhinebeck, NY 12572 | 2017-01-27 |
| 1972726404 | Daytop Village, Inc | Substance Abuse Rehabilitation Facility | 248 Fox Hollow Road, Rhinebeck, NY 12572 | 2007-04-11 |
| 1386766970 | Daytop Village, Inc | Substance Abuse Rehabilitation Facility | 44 Springwood Dr, Rhinebeck, NY 12572 | 2007-04-04 |
| 1912029497 | Daytop Village, Inc | Substance Abuse Rehabilitation Facility | 88 Fox Hollow Rd, Rhinebeck, NY 12572-3639 | 2007-04-04 |
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| 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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| 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.