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SAMARITAN DAYTOP VILLAGE NPI 1740727890

NPI Profile

NPI: 1740727890
Provider Name: SAMARITAN DAYTOP VILLAGE
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1381 DR MARTIN LUTHER KING JR BLVD
BRONX, NY
ZIP 10452
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Phone: (718) 206-2000

SAMARITAN DAYTOP VILLAGE is a substance abuse rehabilitation facility in Bronx, NY. The provider is 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. SAMARITAN DAYTOP VILLAGE NPI is 1740727890. The provider is registered as an organization entity type.

The provider's business location address is:

1381 DR MARTIN LUTHER KING JR BLVD
BRONX, NY
ZIP 10452
Phone: (718) 206-2000
Fax: (718) 206-4055

The provider's authorized official is James Hollywood .
The authorized official title is Vp, Residential Treatment and has the following contact phone number (718) 206-2000.

The enumeration date for this NPI number is 1/27/2017 and was last updated on 1/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityC170210038NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100245309OTHERNEW YORKMEDICAID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 7/3/2020

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