CHARLES EVANS CENTER, INC. (NPI# 1972982007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972982007 |
| Entity Type | Organization |
| Organization Name | CHARLES EVANS CENTER, INC. |
| Practice Address |
857 S Oyster Bay Rd Bethpage NY 11714-1030 |
| Practice Telephone | 5166228888 |
| Practice Fax Number | 5163422480 |
| Mailing Telephone | 5166228888 |
| Mailing Fax Number | 5163422480 |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |
| Authorized Official Name | MR. ROBERT C. GOLDSMITH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5166228888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
2950212R | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
857 S OYSTER BAY RD |
| City | BETHPAGE |
| State | NY |
| Zip Code | 11714-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023466208 | Angelika Cataldo | Physician Assistant | 96 Farmers Ave, Bethpage, NY 11714 | 2016-05-30 |
| 1215390240 | Jessica Cohen Micciulli | Counselor | 1211 Stewart Ave., Suite 100, Bethpage, NY 11714 | 2016-03-29 |
| 1295119329 | Van Tu | Physician Assistant | 72 Roosevelt Dr, Bethpage, NY 11714 | 2015-07-18 |
| 1124400072 | Nicole Simon | Speech-Language Pathologist | 28 Lee Avenue, Bethpage, NY 11714 | 2015-06-26 |
| 1083001556 | Gagandeep Sharma | Podiatrist | 255 Stewart Ave, Bethpage, NY 11714 | 2015-04-22 |
| 1245631399 | All About Kids | Local Education Agency (LEA) | 152 Sycamore Avenue, Bethpage, NY 11714 | 2014-09-09 |
| 1568871440 | Christina Healy | Home Health Aide | 49 West Millpage Drive, Bethpage, NY 11714 | 2014-08-05 |
| 1225444656 | Ryan Vincent Costello | Registered Nurse | 68 S. 2nd St., Apt A, Bethpage, NY 11714 | 2014-07-07 |
| 1598195125 | Lori-ann Perez | Case Manager/Care Coordinator | 18 Ellen Street, Bethpage, NY 11714 | 2013-11-18 |
| 1306195482 | Lisa Kozlowsky | Behavioral Analyst | 420 Kensington Lane, Bethpage, NY 11714 | 2012-09-05 |
| Find all providers in zip 11714 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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.