OUR HOUSE, INC (NPI# 1215395926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215395926 |
| Entity Type | Organization |
| Organization Name | OUR HOUSE, INC |
| Practice Address |
260 Broadway Newark NJ 07104-3906 |
| Mailing Address |
76 Floral Ave New Providence NJ 07974-1511 |
| Practice Telephone | 9084648008 |
| Mailing Telephone | 9084648008 |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2017-06-07 |
| Authorized Official Name | MICHELE DELCORSANO (PRESIDENT AND CEO) |
| Authorized Official Telephone | 9084648008 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0479179 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124507694 | Our House, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 45 E Craig St, Basking Ridge, NJ 07920-1137 | 2018-08-07 |
| 1568822054 | Our House, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Whitenack Rd, Basking Ridge, NJ 07920-2052 | 2016-02-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | OUR HOUSE, INC. | Dorothy A Payne, 182 Eldridge St, Manchester, CT 06040 |
| Indiana Business Entities | OUR HOUSE, INC. | 56311 Ferris Avenue, Mishawaka, IN 46545 |
| Street Address |
260 BROADWAY |
| City | NEWARK |
| State | NJ |
| Zip Code | 07104-3906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548414964 | Caroline O Corvino | Clinical Nurse Specialist | 260 Broadway, Newark, NJ 07104-3906 | 2008-11-12 |
| 1275755373 | Mary J Askew | Nurse Practitioner | 260 Broadway, Newark, NJ 07104-3906 | 2007-05-02 |
| 1760522338 | Youth Consultation Service Inc | Community/Behavioral Health | 260 Broadway, Newark, NJ 07104-3906 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538790563 | North Ward Medical Arts LLC | Internal Medicine | 485-491 Mt Prospect Ave, Newark, NJ 07104 | 2020-01-29 |
| 1386149011 | Community Options Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mount Prospect Ave, Newark, NJ 07104 | 2018-03-26 |
| 1710406293 | Bmrr Corporation | Durable Medical Equipment & Medical Supplies | 664 Mt Prospect Ave, Newark, NJ 07104 | 2017-09-15 |
| 1508390287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 387 Ridge Street, Newark, NJ 07104 | 2017-04-19 |
| 1104280890 | North Essex Pediatrics Inc | Clinic/Center | 644 Mt Prospect Ave, Suite1, Newak, NJ 07104 | 2016-04-08 |
| 1306257076 | Sonia Martinez | Technician/Technologist | 677 Mount Prospect Avenue, Newark, NJ 07104 | 2014-05-15 |
| 1891022612 | Sofia Berkovich | Internal Medicine | 717-727 Broadway, Newark, NJ 07104 | 2009-11-16 |
| 1538302138 | Bellazmin Natalie Taylor | Physician Assistant | 354 Doremus Avenue, Newark, NJ 07104 | 2009-04-13 |
| 1740483502 | Clear Vision Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 677 Mt Prospect Avenue, Newark, NJ 07104 | 2007-06-08 |
| 1083815146 | Rafael A Hernandez | Pharmacist | 794 Mt. Prospect Ave., Newark, NJ 07104 | 2007-05-29 |
| Find all providers in zip 07104 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384204 | Devoted Homecare Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Coralberry Dr, Newark, DE 19702-3928 | 2020-10-26 |
| 1427683465 | Dyneise Tucker | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 87 2nd St Apt 2, Newark, NJ 07107-3103 | 2020-03-10 |
| 1720611478 | The North Ward Center, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 300 Clifton Ave, Newark, NJ 07104-1202 | 2020-02-20 |
| 1639700271 | Hope Jeka Kye | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 182 1st St, Newark, NJ 07107-2201 | 2020-02-02 |
| 1790337319 | Home 2 Care Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 515 Mount Prospect Ave Apt 1h, Newark, NJ 07104-2942 | 2019-07-13 |
| 1316420755 | The North Ward Center, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 346 Mount Prospect Ave, Newark, NJ 07104-2106 | 2018-09-12 |
| 1407333982 | Rasheeta Milton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24 Melrose Ave, Newark, NJ 07106-2708 | 2018-07-26 |
| 1386149011 | Community Options Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mount Prospect Ave, Newark, NJ 07104 | 2018-03-26 |
| 1326550203 | Happy Home Nj, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 31 Midland Pl, Newark, NJ 07106-2803 | 2017-10-31 |
| 1528588258 | Arc of Essex County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 539 Mount Prospect Ave Apt 1, Newark, NJ 07104-1529 | 2017-06-23 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.