CHEMICAL ABUSE SERVICES AGENCY, INC. (NPI# 1225247224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225247224 |
| Entity Type | Organization |
| Organization Name | CHEMICAL ABUSE SERVICES AGENCY, INC. |
| Other Organization Name | CASA EUGENIO MARIA DE HOSTOS |
| Practice Address |
690 Arctic St Bridgeport CT 06608-2008 |
| Mailing Address |
1124 Iranistan Ave Bridgeport CT 06605-1121 |
| Practice Telephone | 2033394112 |
| Practice Fax Number | 2033394115 |
| Mailing Telephone | 2033314728 |
| Mailing Fax Number | 2038730987 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2015-03-05 |
| Authorized Official Name | MR. ASHER DELERME (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2033394112 |
| Authorized Official Credential | MS, LADC, CCS, C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
0452 | CT | Ambulatory Health Care Facilities |
| Y | 251S00000X | Community/Behavioral Health | SA-0081 | CT | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004112918 | 05 |
| Other Name | Type Code |
|---|---|
| Casa Eugenio Maria de Hostos | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316158256 | Chemical Abuse Services Agency, Inc. | Clinic/Center | 592 Kossuth St, Bridgeport, CT 06608-2204 | 2007-05-24 |
| 1043421985 | Chemical Abuse Services Agency, Inc. | Clinic/Center | 426 East St, New Haven, CT 06511-5018 | 2007-05-24 |
| 1225249162 | Chemical Abuse Services Agency, Inc. | Community/Behavioral Health | 426 East St, New Haven, CT 06511-5018 | 2007-05-24 |
| 1457560484 | Chemical Abuse Services Agency, Inc. | Clinic/Center | 426 East St, New Haven, CT 06511-5018 | 2007-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | CHEMICAL ABUSE SERVICES AGENCY, INC. | 1124 Iranistan Ave, Bridgeport, CT 06605 |
| Street Address |
690 ARCTIC ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06608-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184193591 | Full Circle Youth Empowerment | Community/Behavioral Health | 583-585 East Main Street, Bridgeport, CT 06608 | 2018-11-14 |
| 1225548332 | Vicarah, LLC | Home Health | 941 East Main Street, Bridgeport, CT 06608 | 2017-10-03 |
| 1285092346 | Heavenly Providers, LLC | Home Health | 1071 William St, Bridgeport, CT 06608 | 2016-02-04 |
| 1659590131 | Annette Tirado | Social Worker | 982 East Main St, Bridgeport, CT 06608 | 2007-04-24 |
| 1629023536 | Brenda I Kulikowski | Midwife | 982 East Main Street, Optimus Health Care, Bridgeport, CT 06608 | 2006-05-23 |
| 1043695588 | Kirithika Mohanathaas | Internal Medicine | 471 Barnum Ave, Bridgeport, CT 06608 | 2015-07-27 |
| 1871749937 | Michele J Feinberg | Psychiatry & Neurology | 982 E Main St, Bridgeport, CT 06608 | 2008-08-08 |
| 1023225646 | Regional Network of Programs, Inc. | Community Based Residential Treatment Facility, Mental Illness | 74 Huntington Rd, Bridgeport, CT 06608-1006 | 2007-05-16 |
| 1295013910 | Lorraine Dionne Brooks-williams | Registered Nurse | 100 Putnam St, Ph, Bridgeport, CT 06608-1045 | 2011-07-29 |
| 1558480673 | City of Bridgeport Health Dept. | Clinic/Center | 479 Helen St, Bridgeport, CT 06608-1321 | 2007-03-28 |
| Find all providers in zip 06608 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063038685 | Eprine Community Services Inc. | Community/Behavioral Health | 1450 Barnum Ave Ste 202, Bridgeport, CT 06610-3272 | 2020-06-19 |
| 1184193591 | Full Circle Youth Empowerment | Community/Behavioral Health | 583-585 East Main Street, Bridgeport, CT 06608 | 2018-11-14 |
| 1437600491 | Recovery Network of Programs, Inc. | Community/Behavioral Health | 1549 Fairfield Ave, Bridgeport, CT 06605-1935 | 2016-10-14 |
| 1164891271 | Resources for Human Development, Inc | Community/Behavioral Health | 18 E 4th St, Bridgeport, PA 19405-1460 | 2015-09-18 |
| 1811255805 | Lv Family Resources LLC | Community/Behavioral Health | 63 Beach St, Bridgeport, CT 06608-2201 | 2012-04-26 |
| 1770721011 | The Laam Inc | Community/Behavioral Health | 1115 Main St Ste 309, Bridgeport, CT 06604-4415 | 2009-01-23 |
| 1407033152 | Recovery Network of Programs, Inc. | Community/Behavioral Health | 392 Prospect St, Bridgeport, CT 06604-4625 | 2008-01-24 |
| 1710108444 | Recovery Network of Programs, Inc. | Community/Behavioral Health | 480 Bond St, Bridgeport, CT 06610-2205 | 2007-05-01 |
| 1497295208 | Boys and Girls Village | Community/Behavioral Health | 170 Bennett St, Bridgeport, CT 06605-2901 | 2017-02-27 |
| 1851843205 | Kristin Charney | Community/Behavioral Health | 170 Bennett St, Bridgeport, CT 06605-2901 | 2016-11-02 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06608 |
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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.