CENTER FOR HUMANISTIC CHANGE OF NJ INC. NPI 1538694989

NPI Information

NPI: 1538694989
Provider Name: CENTER FOR HUMANISTIC CHANGE OF NJ, INC.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization

CLIA Number: 31D2233400

Address:
883 MILLER RD
MORRIS PLAINS, NJ
ZIP 07950
Phone: (973) 442-7861
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CENTER FOR HUMANISTIC CHANGE OF NJ, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Morris Plains, 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. CENTER FOR HUMANISTIC CHANGE OF NJ, INC. NPI is 1538694989. The provider is registered as an organization entity type.

The provider's business location address is:

883 MILLER RD
MORRIS PLAINS, NJ
ZIP 07950-177
Phone: (973) 442-7861

The provider's authorized official is Paul Steven Kucinski .
The authorized official title is Executive Director and has the following contact phone number (973) 691-3488.

The CLIA number assigned to this NPI record is 31D2233400 - other - group home dd/id with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/24/2017 and was last updated on 11/9/2020.

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
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		GH116	NEW JERSEY	Yes

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
1	0553891	MEDICAID	NEW 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: 4/28/2024

NPI Synchronization or Removal

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