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SAMARITAN DAYTOP VILLAGE, INC.
NPI 1396822839
Substance Abuse Rehabilitation Facility in Richmond Hill, NY

Active since November 01, 2006
13020 89TH RD, RICHMOND HILL, NY 11418(718) 441-8913(718) 805-6041 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Feb 2, 2017 (2 updates tracked since 2017).

About Samaritan Daytop Village, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMARITAN DAYTOP VILLAGE, INC. (NPI 1396822839), doing business as Samaritan Village, Inc., is a healthcare organization registered as a substance abuse rehabilitation facility in Richmond Hill, New York and active in the NPI registry since November 2006. The organization lists Charles Madray, Vice President Of Health & Comm, as its authorized official.

NPPES Registry Identity

NPI1396822839
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSAMARITAN DAYTOP VILLAGE, INC.
Location Address13020 89TH RDRichmond Hill, NY 11418-3301
Mailing Address13802 Queens BlvdBriarwood, NY 11435-2642 · (718) 206-2000 · Fax (718) 206-4055
Phone(718) 441-8913
Fax(718) 805-6041
Organization SubpartNo
Authorized OfficialCharles MadrayVice President Of Health & Comm · (718) 764-4249
Enumeration DateNovember 1, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1396822839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in NY · 16890
Definition
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.
13020 89TH RD, Richmond Hill, NY 11418
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Other Names 1

Former Legal Business NameSamaritan Village, Inc.

Other Identifiers 5

Other03A0973NY · Nyds-doh License #
Other16890NY · Nys-oasas Provider #
Medicaid000245309NY
OtherPRU-393NY · Nys-oasas Prog.report#
Other080510352NY · Nys-oasas Cd Opr.cert.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARTHA GONZALEZ R.N.
Registered Nurse (Administrator)
13020 89TH RD
JAMAICA, NY 11418
Queens County (929) 335-6542
CARLINA ETWAROO LPN
Licensed Practical Nurse
13020 89TH RD
RICHMOND HILL, NY 11418
Queens County (718) 441-8913
DEBRA CHRISTIANA BROWN LPN
Licensed Practical Nurse
13020 89TH RD
RICHMOND HILL, NY 11418
Queens County (718) 441-8913
TEJASWI BISTA CASAC-T
Counselor (Addiction (Substance Use Disorder))
13020 89TH RD
JAMAICA, NY 11418
Queens County (718) 441-8913
TANAYA SYREETA MC RAE LPN
Licensed Practical Nurse
13020 89TH RD
RICHMOND HILL, NY 11418
Queens County (718) 441-8913
ANGIE SCHEUFLER CASAC T
Counselor (Addiction (Substance Use Disorder))
13020 89TH RD
RICHMOND HILL, NY 11418
Queens County (718) 441-8913
MRS. SHAKEMA KOGER
Licensed Practical Nurse
13020 89TH RD
RICHMOND HILL, NY 11418
Queens County (718) 441-8913
NATALIA ZVEREVA
Counselor (Addiction (Substance Use Disorder))
13020 89TH RD
RICHMOND HILL, NY 11418
Queens County (917) 723-5678

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samaritan Daytop Village, Inc.'s NPI number?

The NPI number for Samaritan Daytop Village, Inc. is 1396822839. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider was formerly known as Samaritan Village, Inc..

Where is Samaritan Daytop Village, Inc. located?

Samaritan Daytop Village, Inc. is located at 13020 89th Rd, Richmond Hill, NY 11418. The listed phone number is (718) 441-8913.

What is Samaritan Daytop Village, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Samaritan Daytop Village, Inc. was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.