CHARLES EVANS CENTER, INC. (NPI# 1831758325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831758325 |
| Entity Type | Organization |
| Organization Name | CHARLES EVANS CENTER, INC. |
| Practice Address |
9 Highland Rd Glen Cove NY 11542-2632 |
| Mailing 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 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| 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 |
| 1487213880 | Charles Evans Center, Inc. | Home Health | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 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 |
9 HIGHLAND RD |
| City | GLEN COVE |
| State | NY |
| Zip Code | 11542-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790996676 | Melillo Center for Mental Health | Home Health | 9 Highland Rd, Glen Cove, NY 11542-2632 | 2007-05-24 |
| 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 | 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 |
|---|---|---|---|---|
| 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 |
| 1225697493 | Charles Evans Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 113 Glen Cove Ave, Glen Cove, NY 11542-3438 | 2019-06-11 |
| 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 |
| 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 |
| 1447663067 | 187 Cottage Avenue Corp | Community Based Residential Treatment Facility, Mental Illness | 187 Cottage Ave, Mount Vernon, NY 10550-1446 | 2014-06-11 |
| 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 | ||||
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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.