NPIMap

Organization Active NPI

Eva'S Village, Inc.

  • Substance Abuse Rehabilitation Facility
  • Paterson, NJ
National Provider Identifier
1124447826
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1000060 Issued in NJ
Legal business name
EVA'S VILLAGE, INC.
Practice address
25 Jackson St
Paterson, NJ 07501-2813
Phone
(973) 742-2302
Fax
(973) 684-6561
NPI assigned
Apr 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark Schmit
Title
Chief Executive Officer
Phone
(973) 523-6220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1000060 NJ Primary

Addresses

Primary practice location

25 Jackson St
Paterson, NJ 07501-2813

Mailing address

393 Main St
Paterson, NJ 07501-2815
Phone (973) 523-6220

Other identifiers 2

IdentifierTypeStateIssuer
7199708MedicaidNJ
7632703MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Eva'S Village Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

393 Main St
Paterson, NJ 07501
Phone (973) 523-0925

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1124447826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012815",
            "telephone_number": "973-523-6220",
            "fax_number": "973-825-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 JACKSON ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012813",
            "telephone_number": "973-742-2302",
            "fax_number": "973-684-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVA'S VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "SCHMIT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "973-523-6220"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NJ",
            "license": "1000060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7199708",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7632703",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.