ELEV8 CENTERS OF NEW JERSEY LLC NPI 1467051367

NPI Information

  • NPI: 1467051367
  • Provider Name: ELEV8 CENTERS OF NEW JERSEY, LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 31D2075775
  • Address: 20 TOLER PL
    NEWARK, NJ
    ZIP 07114
  • Phone: (973) 329-0010

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NPI Details

ELEV8 CENTERS OF NEW JERSEY, LLC is a substance abuse rehabilitation facility in Newark, NJ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. ELEV8 CENTERS OF NEW JERSEY, LLC NPI is 1467051367. The provider is registered as an organization entity type.

The provider's business location address is:

20 TOLER PL
NEWARK, NJ
ZIP 07114-431
Phone: (973) 329-0010
Fax: (862) 343-6405

The provider's authorized official is Andre Mitchell .
The authorized official title is Ceo and has the following contact phone number (862) 343-6455.

The CLIA number assigned to this NPI record is 31D2075775 - other - inpatient rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/21/2020 and was last updated on 10/3/2024.

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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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
10979759MEDICAIDNEW 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: 3/30/2025

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