Provider Demographics
| NPI: | 1245122811 |
|---|---|
| Name: | ARTSAVE HUMAN SERVICE, LLC |
| Entity type: | Organization |
| Organization Name: | ARTSAVE HUMAN SERVICE, LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | SHELTON |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | WATSON |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | LMSW |
| Authorized Official - Phone: | 929-360-6515 |
| Mailing Address - Street 1: | 365 W 125TH ST UNIT 1471 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | NEW YORK |
| Mailing Address - State: | NY |
| Mailing Address - Zip Code: | 10027-9595 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 347-433-0005 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 365 W 125TH ST UNIT 1471 |
| Practice Address - Street 2: | |
| Practice Address - City: | NEW YORK |
| Practice Address - State: | NY |
| Practice Address - Zip Code: | 10027-9595 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 347-433-0005 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2025-07-17 |
| Last Update Date: | 2025-08-09 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 251S00000X | Agencies | Community/Behavioral Health | |
| No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | |
| No | 251B00000X | Agencies | Case Management | |
| No | 251E00000X | Agencies | Home Health | |
| No | 252Y00000X | Agencies | Early Intervention Provider Agency | |
| No | 253J00000X | Agencies | Foster Care Agency | |
| No | 261QA0600X | Ambulatory Health Care Facilities | Clinic/Center | Adult Day Care |
| No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) |
| No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health |
| No | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health |
| No | 261QR0400X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation |
| No | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | |
| No | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Mental Illness |
| No | 310500000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Mental Illness | |
| No | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
