SAMARITAN DAYTOP VILLAGE (NPI# 1053858100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053858100 |
| Entity Type | Organization |
| Organization Name | SAMARITAN DAYTOP VILLAGE |
| Practice Address |
119 W 160th St Ny NY 10025 |
| Mailing Address |
13802 Queens Blvd Briarwood NY 11435-2642 |
| Practice Telephone | 7182062000 |
| Practice Fax Number | 7182064055 |
| Mailing Telephone | 7182062000 |
| Mailing Fax Number | 7182064055 |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |
| Authorized Official Name | JAMES HOLLYWOOD (VP, RESIDENTIAL TREATMENT) |
| Authorized Official Telephone | 7182062000 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 161211828 | NY | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICAID | 00245309 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558808618 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 130-15 89th Rd, Richmond Hill, NY 11418 | 2017-01-27 |
| 1538606686 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 68 West 106th St, Ny, NY 10025 | 2017-01-27 |
| 1922545086 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 88-83 Van Wyck Expressway, Jamaica, NY 11435 | 2017-01-27 |
| 1740727890 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 1381 Dr Martin Luther King Jr Blvd, Bronx, NY 10452 | 2017-01-27 |
| 1174069264 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 327 W 43rd St, New York, NY 10036-6406 | 2017-01-12 |
| 1164930848 | Samaritan Daytop Village | Social Worker | 2780 3rd Ave, Bronx, NY 10455-4029 | 2018-01-17 |
| 1245777390 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 767 Cape Rd, Ellenville, NY 12428 | 2017-01-27 |
| 1285171348 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 130-20 89th Rd, Richmond Hill, NY 11418 | 2017-01-27 |
| 1689111734 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 751 Briggs Highway, Ellenville, NY 12428 | 2017-01-27 |
| 1417494568 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 751 Briggs Highway, Ellenville, NY 12428 | 2017-01-27 |
| Street Address |
119 W 160TH ST |
| City | NY |
| State | NY |
| Zip Code | 10025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795840 | Third Eye Acupuncture P.C. | Acupuncturist | 255 West 94th Street, Apt. 6k, New York, NY 10025 | 2020-09-23 |
| 1326653882 | Clare Elizabeth Dacey | Social Worker | 251 West 98th Street, Apartment 6-b, New York, NY 10025 | 2020-09-11 |
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1700402310 | Jean Tully | Counselor | 240 W102nd St., #22a, New York, NY 10025 | 2020-06-19 |
| 1518591692 | Ethan Arthur Baker | Acupuncturist | 309 W. 99th St., Apt. 8b, New York City, NY 10025 | 2020-02-27 |
| 1083258321 | Lisanne Godnick | Social Worker | 210 W 101 St, Nyc, NY 10025 | 2019-10-30 |
| 1558910463 | Cherry Jones | Social Worker | 440 W 114th Street, Clark 6, New York, NY 10025 | 2019-09-04 |
| 1245894674 | Westside Nutrition Pllc | Dietitian, Registered | 240 West 102nd Street, Suite 15, New York, NY 10025 | 2019-05-01 |
| 1518429380 | Nathan Yehuda Ben Agi | Student in an Organized Health Care Education/Training Program | Mt. Sinai St. Lukes, 1111 Amsterdam Avenue, New York, NY 10025 | 2019-04-02 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
| Find all providers in zip 10025 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538606686 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 68 West 106th St, Ny, NY 10025 | 2017-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337224 | Council On Addiction Recovery Services, Inc. | Substance Abuse Rehabilitation Facility | 1355 Olean-portville Road, Westons Mills, NY 14788-1476 | 2020-02-05 |
| 1528609799 | Ebdk At Calverton | Substance Abuse Rehabilitation Facility | 525 Jan Way, Calverton, NY 11933-3005 | 2019-09-30 |
| 1124679998 | Resource Recovery Center of Orange County LLC | Substance Abuse Rehabilitation Facility | 68 Crystal Run Rd, Middletown, NY 10941-7100 | 2019-09-24 |
| 1326506064 | Mountainside - Huntington | Substance Abuse Rehabilitation Facility | 141 E Main St Ste 2, Huntington, NY 11743-2850 | 2019-03-12 |
| 1023589090 | Argus Community, Inc. | Substance Abuse Rehabilitation Facility | 2015-25 Madison Avenue, 4th Floor, New York, NY 10035-1015 | 2018-12-16 |
| 1578030797 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave, Albany, NY 12206-2408 | 2018-10-25 |
| 1467949867 | Ocean Recovery East LLC | Substance Abuse Rehabilitation Facility | 113 E 60th St, New York, NY 10022-1939 | 2018-04-20 |
| 1578050944 | Elev8 Center New York, LLC | Substance Abuse Rehabilitation Facility | 151 W 136th St, New York, NY 10030-2606 | 2018-04-20 |
| 1518491174 | Aaron Smith | Substance Abuse Rehabilitation Facility | 460 Brielle Ave, Building H, Staten Island, NY 10314 | 2017-04-20 |
| 1346772019 | Catholic Charities of The Diocese of Rockville Centre | Substance Abuse Rehabilitation Facility | 30 Carlough Rd Ste C, Bohemia, NY 11716-2919 | 2017-03-31 |
| 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.