BROOKS - TLC HOSPITAL SYSTEM, INC. (NPI# 1225654494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225654494 |
| Entity Type | Organization |
| Organization Name | BROOKS - TLC HOSPITAL SYSTEM, INC. |
| Practice Address |
7020 Erie Road Derby NY 14047 |
| Mailing Address |
529 Central Ave Dunkirk NY 14048-2514 |
| Practice Telephone | 7169470316 |
| Mailing Telephone | 7163661111 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Authorized Official Name | MARY ELIZABETH LAROWE (PRESIDENT & CEO) |
| Authorized Official Telephone | 7163637207 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| SUD clinics | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 33 N. Main Street, Cassadaga, NY 147189600 | 7165953355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598876732 | Brooks - Tlc Hospital System, Inc. | Psychiatric Unit | 845 Route 5 and 20, Irving, NY 14081-9706 | 2006-08-31 |
| 1487738886 | Brooks - Tlc Hospital System, Inc. | General Acute Care Hospital | 845 Route 5 and 20, Irving, NY 14081 | 2006-10-24 |
| 1215917224 | Brooks - Tlc Hospital System, Inc. | General Acute Care Hospital | 529 Central Ave, Dunkirk, NY 14048-2514 | 2006-01-18 |
| Street Address |
7020 ERIE ROAD |
| City | DERBY |
| State | NY |
| Zip Code | 14047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114219607 | Frederick Eckles Jr. | Licensed Practical Nurse | 6816 Erie Road, Derby, NY 14047 | 2011-05-03 |
| 1477887560 | Henna M Patel | Family Medicine | 7060 Erie Rd Suite 100, Derby, NY 14047 | 2009-09-23 |
| 1134300668 | Lisa M Bogner | Pharmacist | 3590 Union Rd, Cheektowaga, NY 14047 | 2007-11-27 |
| 1760546378 | James G Stengel | Internal Medicine | 1667 South Creek Rd, Derby, NY 14047 | 2006-12-20 |
| 1093888463 | Paul J Caro Md | Family Medicine | 7008 Erie Rd Rte 5, Suite A, Derby, NY 14047 | 2006-11-15 |
| 1417037755 | John M Mulawka IIi | Pediatrics | 6763 Erie Road Rt 5, Derby, NY 14047 | 2006-10-17 |
| 1720367782 | Michelle M Sirolli | Licensed Practical Nurse | 6816 Erie Road, Derby, NY 14047 | 2011-08-09 |
| 1770862682 | Janet E Pajak | Licensed Practical Nurse | 6816 Erie Road, Derby, NY 14047 | 2011-08-09 |
| 1497828461 | Harmonia Collaborative Care Inc | Clinic/Center | 6722 Erie Rd, Derby, NY 14047 | 2006-11-16 |
| 1316978869 | Robert Jude Joba | Optometrist | 6929 Erie Rd, Derby, NY 14047 | 2006-07-05 |
| Find all providers in zip 14047 | ||||
| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285170514 | Mount Sinai Beth Isreal | Rehabilitation, Substance Use Disorder Unit | 429-35 Second Avenue, Ny, NY 10010-3101 | 2017-01-10 |
| 1760651855 | The Kingston Hospital | Rehabilitation, Substance Use Disorder Unit | 2 Barbarosa Ln, Kingston, NY 12401-1220 | 2008-02-22 |
| 1851452767 | Hudson Mohawk Recovery Center | Rehabilitation, Substance Use Disorder Unit | 1724 5th Ave, Troy, NY 12180-3320 | 2006-12-13 |
| 1659443000 | St. Peter's Health Care | Rehabilitation, Substance Use Disorder Unit | 636 New Loudon Rd, Latham, NY 12110-4002 | 2006-11-14 |
| 1740366806 | Kings County Hospital Center | Rehabilitation, Substance Use Disorder Unit | 21-49-46 Street, Astoria, NY 11105 | 2006-10-31 |
| 1417940719 | Delaware Valley Hospital, Inc | Rehabilitation, Substance Use Disorder Unit | 1 Titus Pl, Walton, NY 13856-1457 | 2005-08-23 |
| 1568023687 | Upmc Chautauqua At Wca | Rehabilitation, Substance Use Disorder Unit | 51 Glasgow Ave, Jamestown, NY 14701-6440 | 2019-06-28 |
| 1811368368 | The St. Lukes Roosevelt Hospital Center | Rehabilitation, Substance Use Disorder Unit | 440 W 114th St, New York, NY 10025-1796 | 2015-10-09 |
| 1356754857 | St Lukes Hospital | Rehabilitation, Substance Use Disorder Unit | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2014-06-03 |
| 1992069967 | Brooklyn Hospital Center | Rehabilitation, Substance Use Disorder Unit | 121 Dekalb Ave, Brooklyn, NY 11201-5425 | 2012-06-25 |
| 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.