EVA'S VILLAGE, INC.


Address: 16 Spring St, Paterson, NJ 07501-2823
Phone: 9737546784

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
304100104 NJ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ 8102601 05

Other Provider IDs and Locations

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

Office Location

Street Address 16 SPRING ST
City PATERSON
State NJ
Zip Code 07501-2823

Providers in the same location

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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NPI Name Taxonomy Address Enumeration
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1639508187 Maryanne Bolton Nurse Practitioner 393 Main Street, Paterson, NJ 07501 2013-11-05
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

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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Competitor

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City PATERSON
Zip Code 07501

Improve Information

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Dataset Information

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.

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