Provider Type Icon

Q.V.C.M.H. J-CAP NPI 1013372051


NPI Information

NPI: 1013372051
Provider Name: Q.V.C.M.H. J-CAP
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
11630 SUTPHIN BLVD
JAMAICA, NY
ZIP 11434
Phone: (718) 322-2500
Get Directions

Q.V.C.M.H. J-CAP is a substance abuse rehabilitation facility in Jamaica, 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. Q.V.C.M.H. J-CAP NPI is 1013372051. The provider is registered as an organization entity type.

The provider's business location address is:

11630 SUTPHIN BLVD
JAMAICA, NY
ZIP 11434-527
Phone: (718) 322-2500
Fax: (718) 322-1881

The provider's authorized official is Diane Gonzalez .
The authorized official title is Cheif Excutive Officer and has the following contact phone number (718) 712-1100.

The enumeration date for this NPI number is 12/17/2015 and was last updated on 12/17/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility8492NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18492OTHERNEW YORKLICENSE

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.