Organization Active NPI

South Richmond Hill Recovery LLC

  • Community/Behavioral Health Agency
  • Ozone Park, NY
National Provider Identifier
1508223934
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUTH RICHMOND HILL RECOVERY LLC
Practice address
8808 Liberty Ave
Ozone Park, NY 11417-1329
Phone
(347) 743-1598
NPI assigned
Jan 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Authorized official

Name
John Saith, LCSWRNPI 1396955811
Title
Principal
Phone
(347) 743-1598

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NY Primary

Addresses

Primary practice location

8808 Liberty Ave
Ozone Park, NY 11417-1329

Mailing address

8768 114TH St
Richmond Hill, NY 11418-2438
Phone (347) 743-1598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171218002488 NY Part B Supplier - Clinic/Group Practice 4284992439 Receives reassigned benefits from 1 practitioner
Practice locations: Ozone Park, NY

National Provider Directory

National Provider Directory

Locations

8808 Liberty Ave
Ozone Park, NY 11417
Phone (718) 785-3380

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1508223934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8768 114TH ST",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182438",
            "telephone_number": "347-743-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8808 LIBERTY AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171329",
            "telephone_number": "347-743-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH RICHMOND HILL RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "SAITH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "347-743-1598",
        "authorized_official_credential": "LCSWR"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.