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LADACIN NETWORK NPI 1295348423


NPI Information

NPI: 1295348423
Provider Name: LADACIN NETWORK
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
384 2ND AVE APT 2N
LONG BRANCH, NJ
ZIP 07740
Phone: (732) 493-5900
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LADACIN NETWORK is a community based residential treatment facility, intellectual and/or developmental disabilities in Long Branch, 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. LADACIN NETWORK NPI is 1295348423. The provider is registered as an organization entity type.

The provider's business location address is:

384 2ND AVE APT 2N
LONG BRANCH, NJ
ZIP 07740-767
Phone: (732) 493-5900
Fax: (732) 493-5980

The provider's authorized official is Patricia Carlesimo .
The authorized official title is Executive Director and has the following contact phone number (732) 493-5900.

The enumeration date for this NPI number is 8/27/2020 and was last updated on 8/27/2020.


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
11083094395MEDICAIDNEW 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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