EVA'S VILLAGE, INC. (NPI# 1033511217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033511217 |
Entity Type | Organization |
Organization Name | EVA'S VILLAGE, INC. |
Practice Address |
16 Spring St Paterson NJ 07501-2823 |
Mailing Address |
393 Main St Paterson NJ 07501-2815 |
Practice Telephone | 9737546784 |
Mailing Telephone | 9735236220 |
Enumeration Date | 2014-09-19 |
Last Update Date | 2019-01-09 |
Authorized Official Name | MR. MARK SCHMIT (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 9735236220 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
304100104 | NJ | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 8102601 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811460165 | Eva's Village, Inc. | Clinic/Center | 20 Jackson Street, Paterson, NJ 07501-2815 | 2019-01-09 |
1427477272 | Eva's Village, Inc. | Clinic/Center | 16 Spring St, Paterson, NJ 07501-2823 | 2014-04-09 |
1942615257 | Eva's Village, Inc. | Community/Behavioral Health | 16 Spring St, Paterson, NJ 07501-2823 | 2014-06-25 |
1215356910 | Eva's Village, Inc. | Substance Abuse Rehabilitation Facility | 16 Spring St, Paterson, NJ 07501-2823 | 2014-04-09 |
1124447826 | Eva's Village, Inc. | Substance Abuse Rehabilitation Facility | 25 Jackson St, Paterson, NJ 07501-2813 | 2014-04-09 |
1699018242 | Eva's Village, Inc. | Clinic/Center | 393 Main St, Paterson, NJ 07501-2815 | 2013-04-02 |
Street Address |
16 SPRING ST |
City | PATERSON |
State | NJ |
Zip Code | 07501-2823 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427477272 | Eva's Village, Inc. | Clinic/Center | 16 Spring St, Paterson, NJ 07501-2823 | 2014-04-09 |
1942615257 | Eva's Village, Inc. | Community/Behavioral Health | 16 Spring St, Paterson, NJ 07501-2823 | 2014-06-25 |
1215356910 | Eva's Village, Inc. | Substance Abuse Rehabilitation Facility | 16 Spring St, Paterson, NJ 07501-2823 | 2014-04-09 |
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1639508187 | Maryanne Bolton | Nurse Practitioner | 393 Main Street, Paterson, NJ 07501 | 2013-11-05 |
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Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
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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.