CHARLES EVANS CENTER, INC. (NPI# 1487213880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487213880 |
| Entity Type | Organization |
| Organization Name | CHARLES EVANS CENTER, INC. |
| Practice Address |
113 Glen Cove Ave Glen Cove NY 11542-3438 |
| Practice Telephone | 5166762388 |
| Practice Fax Number | 5167595240 |
| Mailing Telephone | 5166762388 |
| Mailing Fax Number | 5167595240 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |
| Authorized Official Name | MARY CODY (BILLING MANAGER) |
| Authorized Official Telephone | 5166762388 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972982007 | Charles Evans Center, Inc. | Clinic/Center | 857 S Oyster Bay Rd, Bethpage, NY 11714-1030 | 2015-05-21 |
| 1225697493 | Charles Evans Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2019-06-11 |
| 1083273577 | Charles Evans Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 85 Red Ground Rd, Roslyn Heights, NY 11577-1709 | 2019-06-10 |
| 1811556301 | Charles Evans Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 550 Glen Cove Rd, Glen Head, NY 11545-2233 | 2019-06-10 |
| 1215596614 | Charles Evans Center, Inc. | Community/Behavioral Health | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2019-06-10 |
| 1831758325 | Charles Evans Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 9 Highland Rd, Glen Cove, NY 11542-2632 | 2019-06-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CHARLES EVANS CENTER, INC. | 857 South Oyster Bay Road, Bethpage, Ny 11714 |
| Street Address |
113 GLEN COVE AVE |
| City | GLEN COVE |
| State | NY |
| Zip Code | 11542-3438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043308190 | Daniel Giedt | Nurse Practitioner | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2006-10-11 |
| 1245858570 | Anne Castelluzzo | Counselor | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2020-07-13 |
| 1386262384 | Elizabeth Borriello | Art Therapist | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2020-07-07 |
| 1225654239 | Brandi Merryl Bell | Social Worker | 113 Glen Cove Ave, Glen Cove, NY 11542 | 2020-06-25 |
| 1346862968 | Jessica Ancona-neis | Art Therapist | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2020-05-18 |
| 1124660782 | Doris Wade | Licensed Practical Nurse | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2019-10-15 |
| 1033751797 | Stephanie Caceres | Counselor | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2019-10-15 |
| 1023650686 | Ashley Mccusker | Counselor | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2019-10-15 |
| 1770133050 | Anna-karin Demirciyan | Counselor | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2019-09-18 |
| 1871143149 | Christine Bell | Art Therapist | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2019-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104468461 | Yvonne N Valcourt | Registered Nurse | 14 Burns Ave, Glen Cove, NY 11542 | 2019-10-08 |
| 1508419771 | Gregory Stephen Bonistalli | Audiologist | 70 Glen St Ste 100, Glen Cove, NY 11542 | 2019-07-17 |
| 1861954646 | Pulkit Malik | Student in an Organized Health Care Education/Training Program | Northwell Health Glen Cove Hospital, 101 St. Andrews Lane, Glen Cove, NY 11542 | 2019-04-02 |
| 1912498783 | Rays of Light Companion Care Agency LLC | Long Term Care Hospital | 70 Forest Ave # 2g, Glen Cove, NY 11542 | 2018-05-28 |
| 1164978391 | Nithin Kuruvilla | Pharmacist | 421 Glen Cove Road, East Hills, NY 11542 | 2016-08-28 |
| 1063879245 | Kerri A Sujeski | Physician Assistant | 104 Forest Avenue, Glen Cove, NY 11542 | 2016-01-19 |
| 1093110884 | Sherri Meagher | Social Worker | 130 Glen Street, Glen Cove, NY 11542 | 2014-10-23 |
| 1174946537 | Lori Seele | Psychologist | Ridge Drive, Connolly Elementary School, Glen Cove, NY 11542 | 2014-01-21 |
| 1255671210 | Wendy S Grossman | Speech-Language Pathologist | 2 Dosoris Lane, Deasy School Glen Cove School District, Glen Cove, NY 11542 | 2013-02-27 |
| 1033459318 | Kristin Strelec | Social Worker | Seaman & Walnut Roads, Gribbin School Glen Cove School District, Glen Cove, NY 11542 | 2013-02-22 |
| Find all providers in zip 11542 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790996676 | Melillo Center for Mental Health | Home Health | 9 Highland Rd, Glen Cove, NY 11542-2632 | 2007-05-24 |
| 1679020747 | Jaetris Homecare Solutions, Inc. | Home Health | 50 Glen St, Suite 310, Glen Cove, NY 11542-4304 | 2016-09-07 |
| 1336554252 | Professional Medstaff | Home Health | 10 Cedar Swamp Rd, 2nd Floor - Suite 1, Glen Cove, NY 11542-3700 | 2014-06-30 |
| 1750552261 | Melillo Center for Mental Health | Home Health | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2008-03-13 |
| 1942419197 | Melillo Center for Mental Health | Home Health | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2007-05-22 |
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| 1821695834 | Rymax Electronics Inc | Home Health | 1805 5th Ave Ste F, Bay Shore, NY 11706-1761 | 2020-10-02 |
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| 1679188056 | Anchor Home Care, LLC | Home Health | 50 Lakefront Boulevard Suite 200, Buffalo, NY 14202-4301 | 2020-09-11 |
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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.