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JEWISH SERVICE FOR THE DEVELOPMENTALLY DISABLED OF METROWEST INC. NPI 1174297790


NPI Information

NPI: 1174297790
Provider Name: JEWISH SERVICE FOR THE DEVELOPMENTALLY DISABLED OF METROWEST, INC.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
8 WOODLAND RD
MAPLEWOOD, NJ
ZIP 07040
Phone: (973) 272-7141
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JEWISH SERVICE FOR THE DEVELOPMENTALLY DISABLED OF METROWEST, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Maplewood, NJ. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. JEWISH SERVICE FOR THE DEVELOPMENTALLY DISABLED OF METROWEST, INC. NPI is 1174297790. The provider is registered as an organization entity type.

The provider's business location address is:

8 WOODLAND RD
MAPLEWOOD, NJ
ZIP 07040-227
Phone: (973) 272-7141
Fax: (973) 325-2980

The provider's authorized official is Linda Rae Press .
The authorized official title is Executive Director and has the following contact phone number (973) 272-7141.

The enumeration date for this NPI number is 8/6/2021 and was last updated on 8/6/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11932402906MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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