Samaritan Village, Inc.
LBN: Samaritan Daytop Village, Inc.
Samaritan Village, Inc. is an health care organization with primary practice located at 14401 Jamaica Ave , Jamaica NY 11435-3601. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty.
Samaritan Daytop Village, Inc. can be contacted via phone (718) 206-1990, or through Madray, Charles via phone (718) 206-2000.
Contact Information
Primary practice address
14401 Jamaica Ave
Jamaica NY 11435-3601
Phone: (718) 206-1990
Fax: (718) 206-0051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 080311278 | New York |
Profile Details
| NPI number | 1982878757 |
|---|---|
| LBN Legal business name | Samaritan Daytop Village, Inc. |
| DBA Doing business as | Samaritan Village, Inc. |
| Authorized official | Madray, Charles MBA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 14th, 2008 |
| Last updated | Apr 29th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982878757 | NPPES |
| New York | Other | 080311278 | OASAS LIC# |
| New York | Other | 16890 | OASAS LIC# |
| New York | MEDICAID | 000245309 | OASAS LIC# |
| New York | Other | PRU #6595 | OASAS LIC# |
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