SELF (NPI# 1649599135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649599135 |
| Entity Type | Organization |
| Organization Name | SELF |
| Practice Address |
1965 Lafayette Ave Apt. 1g Bronx NY 10473-2502 |
| Practice Telephone | 7188240605 |
| Mailing Telephone | 7188240605 |
| Enumeration Date | 2010-05-23 |
| Last Update Date | 2010-05-23 |
| Authorized Official Name | MS. GLORIA Z. MARTIN (LPN) |
| Authorized Official Telephone | 3478532849 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 273750-1 | NY | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508319666 | Self | Community/Behavioral Health | 117 Valley St, Glenwood, IA 51534-1024 | 2016-07-25 |
| 1568814390 | Self | Clinic/Center | 19 Merrick Ave Apt 1, Springfield, MA 01109-4324 | 2016-07-05 |
| 1740655471 | Self | Clinic/Center | 7627 Key West Dr, Parma, OH 44134-6624 | 2015-12-07 |
| 1215333901 | Self | Physical Therapist | 410 Jason Dr, Richmond, KY 40475-2291 | 2014-11-07 |
| 1659789915 | Self | Home Health | 33803 Electric Blvd, E4, Avonlake, OH 44012 | 2014-07-30 |
| 1811334758 | Self | Skilled Nursing Facility | 4 Spruce Rd, Amityville, NY 11701-1019 | 2013-06-02 |
| 1699019786 | Self | Health Maintenance Organization | 10136 Amigo Ave, Northridge, CA 91324-1301 | 2012-11-15 |
| 1861781759 | Self | Licensed Practical Nurse | 29 Heberton Rd, Rochester, NY 14622-2405 | 2011-03-31 |
| 1912372822 | Self | Community/Behavioral Health | 5010 E Shea Blvd Ste D202, Scottsdale, AZ 85254-4570 | 2015-12-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SELF | 214 Ceret Ct Sw, Vienna, VA 22180-6210 |
| Colorado Business Entities | Self !mprovment, LLC | 3416 White Oak Ln, Highlands Ranch, CO 80129 |
| Virginia Business Entities | SELF & LOVING CONSTRUCTION INC. | 140 Claughton Wright Lane, Lottsburg, Virginia 22511 |
| System for Award Management (SAM) Entities | SELF & SELF GENERAL CONTRACTORS | 494 Grv St N, Dahlonega, GA 30533-0432 |
| System for Award Management (SAM) Entities | SELF --- SUPPORT FOR EARLY LEARNING & FAMILIES | 12214 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684-6019 |
| New York State Corporations | SELF ABLE, INC. | 302 N Fulton Avenue, Lindenhurst, Ny 11757 |
| Washington State Corporations | SELF ACCESS STORAGE, LLC | 102 Myers St, Rainier, WA 98576 |
| Virginia Business Entities | Self Actualization Counseling Services LLC | 1220 Geranium Crescent, Virginia Beach, Virginia 23453 |
| Indiana Business Entities | SELF ADHERING PRODUCTS INC | 457 Circle Freeway Dr, Cincinnati, OH 45246 |
| Washington State Corporations | SELF ADHESIVE RECORDS INC. | 3835 34th Ave W #2 Po Box 99711, Seattle, WA 98199 |
| Street Address |
1965 LAFAYETTE AVE APT. 1G |
| City | BRONX |
| State | NY |
| Zip Code | 10473-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578015236 | Gloria Omoh Martin | Registered Nurse | 1965 Lafayette Ave, Apt 1g, Bronx, NY 10473-2502 | 2016-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868225 | Salome Anderson | Licensed Practical Nurse | 635 Kathhilll Avenue, Bronx, NY 10473 | 2019-12-19 |
| 1740704634 | Darnae Montgomery | Social Worker | 2001 Story Avenue Apt#2q, Bronx, NY 10473 | 2017-08-01 |
| 1285164889 | Exceptional Aba Services Inc. | Social Worker | 1809 Seward Ave, Bronx, NY 10473 | 2017-06-15 |
| 1306207600 | Dat Transportation Inc | Taxi | 650 Soundview Avenue, Bronx, NY 10473 | 2016-03-14 |
| 1568876688 | Yadira Salazar | Behavioral Analyst | 945 Underhill Ave Apt1010, Bronx, NY 10473 | 2014-06-17 |
| 1881023976 | Evette Onogwu | Licensed Practical Nurse | 1676 Seward Ave Apt3b, Bronx, NY 10473 | 2013-11-08 |
| 1265876155 | Starlight Ambulette | Non-emergency Medical Transport (VAN) | 2211 Turnbull Ave, Bronx, NY 10473 | 2013-04-22 |
| 1104164490 | Alexa Rosas | Speech-Language Pathologist | 920 Metcalf Ave Apt 14d, Bronx, NY 10473 | 2013-01-22 |
| 1063761567 | Wanda Santiago | Specialist | 1710 Lafayette Avenue, Apt 6h, Bronx, NY 10473 | 2012-08-30 |
| 1558693135 | Ebenezer Peprah | Dentist | 1850 Lafayette Avenue, , Apt#20g, Bronx, NY 10473 | 2010-02-05 |
| Find all providers in zip 10473 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164875530 | The Institutes of Applied Human Dynamics, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1249 Ward Ave, Bronx, NY 10472-2405 | 2016-07-20 |
| 1760835136 | The Institutes of Applied Human Dynamics, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2111 Virgil Pl, Bronx, NY 10473-1310 | 2016-07-20 |
| 1487811618 | Rosetta Pryor | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 140 Debs Pl Apt 21g, Bronx, NY 10475-2550 | 2008-05-16 |
| 1619144706 | Alma C Pendelton | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 773 Concourse Vlg E Apt 6d, Bronx, NY 10451-3911 | 2008-05-08 |
| 1205000502 | Minnie Green | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4446 Hill Ave, Bronx, NY 10466-1136 | 2008-04-17 |
| 1306016787 | Lovlet Burke-prince | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4763 Richardson Ave, Bronx, NY 10470 | 2008-03-03 |
| 1356539332 | Lhiel Taga-oc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2166 Matthews Ave Apt 7v, Bronx, NY 10462-2011 | 2007-10-04 |
| 1760694277 | Therapeutic Associates, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1473 Shakespeare Ave., Bronx, NY 10452 | 2007-05-04 |
| 1306989256 | Ez Pharmacy Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3716 3rd Ave, Bronx, NY 10456-2126 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356976211 | Carolyn Luguya | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 30 Waterside Plz Apt 27g, New York, NY 10010-2626 | 2020-03-11 |
| 1548701154 | Kerry Coons | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 481 Bradford Rd, Schenectady, NY 12304-3721 | 2017-03-15 |
| 1265970461 | Adults & Children W/learning & Dd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 923 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2017-02-08 |
| 1891232179 | Evelyn Douglin Center Spin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 470 Chester St, Brooklyn, NY 11212-5505 | 2017-01-25 |
| 1972049039 | Evelyn Douglin Center Spin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 163 Riverdale Ave, Brooklyn, NY 11212-5579 | 2017-01-13 |
| 1962947846 | Family Residences and Essential Enterprise, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80-45 Winchester Blvd Building #11, Family Residences and Essential Enterprises, Inc., Queens Village, NY 11427 | 2016-12-30 |
| 1508309857 | Adults & Children W/ Learning & Dd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 918 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2016-11-18 |
| 1962945212 | Adults & Children W/ Learning & Dd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 921 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2016-11-18 |
| 1962944405 | Adults & Children W/ Learning & Dd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 913 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2016-11-15 |
| 1184166274 | Community Mainstreaming Associates, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 920 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2016-11-07 |
| Find all providers with the same taxonomy | ||||
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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.