BROOKVILLE CENTER FOR CHILDRENS SERVICES INC (NPI# 1457598237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457598237 |
| Entity Type | Organization |
| Organization Name | BROOKVILLE CENTER FOR CHILDRENS SERVICES INC |
| Practice Address |
30 Seaspray Dr Lido Beach NY 11561-5232 |
| Mailing Address |
189 Wheatley Rd Glen Head NY 11545-2641 |
| Practice Telephone | 5166261075 |
| Practice Fax Number | 5166263308 |
| Mailing Telephone | 5166261075 |
| Mailing Fax Number | 5166263308 |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |
| Authorized Official Name | MR. WILLARD T DERR (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5166261075 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003053885 | Brookville Center for Childrens Services Inc | Intermediate Care Facility, Mental Illness | 28 Seaspray Dr, Lido Beach, NY 11561-5232 | 2009-01-15 |
| 1376780262 | Brookville Center for Childrens Services Inc | Intermediate Care Facility, Mental Illness | 26 Seaspray Dr, Lido Beach, NY 11561-5232 | 2009-01-14 |
| 1053558940 | Brookville Center for Childrens Services Inc | Intermediate Care Facility, Mental Illness | 100 Red Spring Ln, Glen Cove, NY 11542-1754 | 2009-01-14 |
| Street Address |
30 SEASPRAY DR |
| City | LIDO BEACH |
| State | NY |
| Zip Code | 11561-5232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083246961 | Romina Zitofsky | Community Health Worker | 65 Pacific Blvd, Long Beach, NY 11561 | 2020-02-07 |
| 1710519038 | Can Flei Corp. | Massage Therapist | 116 Taft Ave., Long Beach, NY 11561 | 2020-02-05 |
| 1073032199 | Sherrie Cooper | Behavior Technician | 554 East Pine Street, Long Beach, NY 11561 | 2017-09-11 |
| 1437679354 | Alana Doonachar | Physician Assistant | 100 Belmont Avenue, Long Beach, NY 11561 | 2017-06-21 |
| 1023547452 | Tina Bayer | Nurse Practitioner | 427 East Chester Street 2nd Floor, Long Beach, NY 11561 | 2017-06-08 |
| 1316483977 | Taylor Nicole Paganini | Massage Therapist | 252 Grand Blvd, Long Beach, NY 11561 | 2017-01-06 |
| 1265803688 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 85 East Park Ave, Long Beach, NY 11561 | 2015-10-12 |
| 1588048797 | Carol Bell | Behavioral Analyst | 121 Harding Avenue, Long Beach, NY 11561 | 2015-07-17 |
| 1811378821 | Patricia Harris | Case Manager/Care Coordinator | 72 Illinios Avenue, Long Beach, NY 11561 | 2015-06-16 |
| 1164801916 | Antonia Dileo | Marriage & Family Therapist | 36 Prescott Street, Lido Beach, NY 11561 | 2015-05-27 |
| Find all providers in zip 11561 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003053885 | Brookville Center for Childrens Services Inc | Intermediate Care Facility, Mental Illness | 28 Seaspray Dr, Lido Beach, NY 11561-5232 | 2009-01-15 |
| 1376780262 | Brookville Center for Childrens Services Inc | Intermediate Care Facility, Mental Illness | 26 Seaspray Dr, Lido Beach, NY 11561-5232 | 2009-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619537271 | Citizens Options Unlimited Inc | Intermediate Care Facility, Mental Illness | 283 Route 25a, Shoreham, NY 11786-2135 | 2019-06-17 |
| 1508300393 | Citizens Options Unlimited Inc | Intermediate Care Facility, Mental Illness | 915 Rainbow Commons Court, Melville, NY 11747-9001 | 2016-12-13 |
| 1871037648 | Citizens Options Unlimited Inc | Intermediate Care Facility, Mental Illness | 919 Rainbow Commons Court, Melville, NY 11747-9001 | 2016-12-13 |
| 1972967859 | Citizens Options Unlimited Inc | Intermediate Care Facility, Mental Illness | 904 Melville Estates Ct, Melville, NY 11747-2827 | 2016-04-07 |
| 1326400631 | Qsac, Inc | Intermediate Care Facility, Mental Illness | 901 Melville Estates Ct, Melville, NY 11747-2827 | 2016-03-25 |
| 1225317266 | Easter Seals New York, Inc. | Intermediate Care Facility, Mental Illness | 304 Daley Blvd, Rochester, NY 14617 | 2011-08-09 |
| 1407135445 | Easter Seals New York, Inc. | Intermediate Care Facility, Mental Illness | 404 Rogers Pkwy, Rochester, NY 14617 | 2011-08-09 |
| 1316226350 | Easter Seals of Ny, Inc | Intermediate Care Facility, Mental Illness | 302 Daley Boulevard, Rochester, NY 14617 | 2011-08-09 |
| 1114213824 | Gotham | Intermediate Care Facility, Mental Illness | 116 John St., New York, NY 10038-3414 | 2011-06-21 |
| 1215240403 | Nassau County Association for The Help of Retarded Citizens Inc | Intermediate Care Facility, Mental Illness | 980 Washington Ave., House D, Plainview, NY 11803 | 2010-07-16 |
| Find all providers with the same taxonomy | ||||
| City | LIDO BEACH |
| Zip Code | 11561 |
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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.