VILLAGE CARE SERVICES LLC NPI 1790630200

NPI Information

NPI: 1790630200
Provider Name: VILLAGE CARE SERVICES LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address: 786 S MAPLE AVE
GLEN ROCK, NJ
ZIP 07452
Phone: (570) 687-5242

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NPI Details

VILLAGE CARE SERVICES LLC is a community behavioral health in Glen Rock, NJ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. VILLAGE CARE SERVICES LLC NPI is 1790630200. The provider is registered as an organization entity type.

The provider's business location address is:

786 S MAPLE AVE
GLEN ROCK, NJ
ZIP 07452-817
Phone: (570) 687-5242

The provider's authorized official is Jamee Ruddy .
The authorized official title is Owner and has the following contact phone number (570) 687-5242.

The enumeration date for this NPI number is 3/2/2026 and was last updated on 3/2/2026.

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	Primary
1	251B00000X	Case Management		No
2	251C00000X	Day Training, Developmentally Disabled Services		No
3	251E00000X	Home Health		No
4	251K00000X	Public Health or Welfare		No
5	251T00000X	Program of All-Inclusive Care for the Elderly (PACE) Provider Organization		No
6	251V00000X	Voluntary or Charitable		No
7	251X00000X	Supports Brokerage		No
8	252Y00000X	Early Intervention Provider Agency		No
9	261QA0600X	Clinic/Center	Adult Day Care	No
10	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
11	320800000X	Community Based Residential Treatment Facility, Mental Illness		No
12	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
13	343900000X	Non-emergency Medical Transport (VAN)		No
14	385H00000X	Respite Care		No
15	251S00000X	Community/Behavioral Health		Yes

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: 11/21/2025

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