SAMARITAN DAYTOP VILLAGE INC. NPI 1396822839

NPI Information

NPI: 1396822839
Provider Name: SAMARITAN DAYTOP VILLAGE, INC.

Former Legal Business Name: SAMARITAN VILLAGE, INC.

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
13020 89TH RD
RICHMOND HILL, NY
ZIP 11418
Phone: (718) 441-8913
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SAMARITAN DAYTOP VILLAGE, INC. is a substance abuse rehabilitation facility in Richmond Hill, 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, INC. NPI is 1396822839. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Samaritan Village, Inc..

The provider's business location address is:

13020 89TH RD
RICHMOND HILL, NY
ZIP 11418-301
Phone: (718) 441-8913
Fax: (718) 805-6041

The provider's authorized official is Charles Madray .
The authorized official title is Vice President Of Health & Comm and has the following contact phone number (718) 764-4249.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 3/7/2023.

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
1	324500000X	Substance Abuse Rehabilitation Facility		16890	NEW YORK	Yes

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
1	03A0973	OTHER	NEW YORK	NYDS-DOH LICENSE #
2	16890	OTHER	NEW YORK	NYS-OASAS PROVIDER #
3	000245309	MEDICAID	NEW YORK
4	PRU-393	OTHER	NEW YORK	NYS-OASAS PROG.REPORT#
5	080510352	OTHER	NEW YORK	NYS-OASAS CD OPR.CERT.

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

NPI Synchronization or Removal

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