SAMARITAN DAYTOP VILLAGE – NPI #1245777390
Substance Abuse Rehabilitation Facility

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 is a substance abuse rehabilitation facility located in ELLENVILLE, NY. NPPES has assigned the NPI number 1245777390 to SAMARITAN DAYTOP VILLAGE on January 27, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAMARITAN DAYTOP VILLAGE below.

NPI Profile for
SAMARITAN DAYTOP VILLAGE

NPI Number
1245777390
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAMARITAN DAYTOP VILLAGE
Primary location
767 CAPE RD
ELLENVILLE, NY 12428
Phone: (718) 206-2000 Fax: (718) 206-4055
Mailing address
13802 QUEENS BLVD
BRIARWOOD, NY 11435-2642
Phone: (718) 206-2000 Fax: (718) 206-4055
Organization Subpart
No
Authorized Official
JAMES HOLLYWOOD
VP, RESIDENTIAL TREATMENT
Phone: (718) 206-2000
Updated
Identifiers

Identifiers for SAMARITAN DAYTOP VILLAGE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICAIDNY00245309
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
NY 180311878

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.