ADVOSERV OF NEW JERSEY INC. NPI 1639559693

NPI Information

NPI: 1639559693
Provider Name: ADVOSERV OF NEW JERSEY, INC.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
728 ROUTE 206
HILLSBOROUGH, NJ
ZIP 08844
Phone: (856) 241-3320
Get Directions

ADVOSERV OF NEW JERSEY, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Hillsborough, 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. ADVOSERV OF NEW JERSEY, INC. NPI is 1639559693. The provider is registered as an organization entity type.

The provider's business location address is:

728 ROUTE 206
HILLSBOROUGH, NJ
ZIP 08844-506
Phone: (856) 241-3320
Fax: (856) 241-3321

The provider's authorized official is Darren Blough .
The authorized official title is State Director and has the following contact phone number (856) 241-3320.

The enumeration date for this NPI number is 6/4/2015 and was last updated on 3/11/2016.

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		GH1693	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	0463591	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: 11/14/2023

NPI Synchronization or Removal

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