SAMARITAN DAYTOP VILLAGE
NPI 1245777390
Substance Abuse Rehabilitation Facility in Ellenville, NY
NPI Status: Active since January 27, 2017
Contact Information
767 CAPE RD
ELLENVILLE, NY
ZIP 12428
Phone: (718) 206-2000
Fax: (718) 206-4055
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 33D2280959
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 03-26-2027
About SAMARITAN DAYTOP VILLAGE
This page provides the complete NPI Profile along with additional information for Samaritan Daytop Village, a provider established in Ellenville, New York operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1245777390 assigned on January 2017. The practitioner's primary taxonomy code is 324500000X with license number 180311878 (NY). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is James Hollywood Lcsw (Vp, Residential Treatment)
- NPI
- 1245777390
- Provider Name
- SAMARITAN DAYTOP VILLAGE
- Entity Type
- Organization
- Location Address
- 767 CAPE RD ELLENVILLE, NY 12428
- Location Phone
- (718) 206-2000
- Location Fax
- (718) 206-4055
- Mailing Address
- 13802 QUEENS BLVD BRIARWOOD, NY 11435
- Mailing Phone
- (718) 206-2000
- Mailing Fax
- (718) 206-4055
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-27-2017
- Last Update Date
- 01-27-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- 180311878
- License State
- NY
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00245309 | OTHER (01) | NY | MEDICAID |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D2280959
- Facility Type
- Community Clinic
- Certificate Effective Date
- April 28, 2023
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- DR. GREGORY BUNT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Samaritan Daytop Village to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SAMARITAN DAYTOP VILLAGE
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 7 | 7 | 7 | 3 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 14 | 7 | 14 | 3 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 1 + 4 + 7 + 1 + 4 + 3 + 1 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1245777390 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1275005027 | SHANIQUE YEVETTE SPEIGHT LPN Individual | Licensed Practical Nurse | 767 CAPE RD ELLENVILLE, NY 12428 (718) 206-1990 |
| 1356737514 | HEATHER BUTTERFIELD Individual | Registered Nurse | 767 CAPE RD ELLENVILLE, NY 12428 (845) 647-6575 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245777390, enumerated in the NPI registry as an "organization" on January 27, 2017
The provider is located at 767 Cape Rd Ellenville, Ny 12428 and the phone number is (718) 206-2000
This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 33D2280959 for a "community clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on January 27, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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