CENTER FOR HUMANISTIC CHANGE OF NJ, INC. (NPI# 1245765106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245765106 |
Entity Type | Organization |
Organization Name | CENTER FOR HUMANISTIC CHANGE OF NJ, INC. |
Practice Address |
17 Grove St Bloomingdale NJ 07403-1607 |
Mailing Address |
12 Us Highway 206 Stanhope NJ 07874-3269 |
Practice Telephone | 9738387756 |
Mailing Telephone | 9736913488 |
Enumeration Date | 2017-04-27 |
Last Update Date | 2020-11-09 |
Authorized Official Name | MR. PAUL STEVEN KUCINSKI (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 9736913488 |
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 | GH347 | NJ | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 0553891 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568982882 | Center for Humanistic Change of Nj, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Christopher St, Hackettstown, NJ 07840-1703 | 2017-06-27 |
1598285934 | Center for Humanistic Change of Nj, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 103 Christopher St, Hackettstown, NJ 07840-1703 | 2017-06-27 |
1710407077 | Center for Humanistic Change of Nj, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28 Arthur Ter Apt E4, Hackettstown, NJ 07840-2371 | 2017-06-27 |
1205356649 | Center for Humanistic Change of Nj, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28 Arthur Ter Apt E5, Hackettstown, NJ 07840-2371 | 2017-06-27 |
1396265633 | Center for Humanistic Change of Nj, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35 Arthur Ter Apt C3, Hackettstown, NJ 07840-2369 | 2017-06-27 |
1114452174 | Center for Humanistic Change of Nj, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33 Arthur Ter, Apt. B12, Hackettstown, NJ 07840-2330 | 2017-04-27 |
1275068231 | Center for Humanistic Change of Nj, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2158 Stillwater Rd, Newton, NJ 07860-5536 | 2017-04-27 |
1881129252 | Center for Humanistic Change of Nj, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 76 Taylor Rd, Wharton, NJ 07885-1502 | 2017-04-24 |
1902331374 | Center for Humanistic Change of Nj, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24 Holiday Ln, West Milford, NJ 07480-2902 | 2017-04-24 |
1538694989 | Center for Humanistic Change of Nj, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 883 Miller Rd, Morris Plains, NJ 07950-1177 | 2017-04-24 |
Street Address |
17 GROVE ST |
City | BLOOMINGDALE |
State | NJ |
Zip Code | 07403-1607 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326158197 | Hedoneia Jaaj | Physician Assistant | 34 A Main Street, Bloomingdale, NJ 07403 | 2006-08-30 |
1871669408 | Roshanak Elmendorf | Dentist | 142 Main Street, Bloomingdale, NJ 07403 | 2006-11-27 |
1316290976 | Jessica Rodriguez | Behavioral Analyst | 3 Waterfall Ct, Bloomingdale, NJ 07403-1030 | 2012-10-19 |
1265068167 | Alpha and Omega Industries LLC | Nutritionist | 37 Waterfall Ct, Bloomingdale, NJ 07403-1038 | 2020-03-23 |
1760416911 | Pilot Medical Services, LLC | Ambulance | 13 1st St # 15, Unit 3, Bloomingdale, NJ 07403-1213 | 2006-07-11 |
1376842914 | Family Medicine Group LLC | Family Medicine | 73 Clark St, Bloomingdale, NJ 07403-1300 | 2011-03-22 |
1932526399 | Justine Renee Krougliak | Nurse Practitioner | 125 Clark St, Bloomingdale, NJ 07403-1311 | 2014-03-24 |
1154885119 | Dawn Fuller | Counselor | 1 James Ave, Bloomingdale, NJ 07403-1316 | 2019-01-24 |
1043689540 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Winfred Ct, Bloomingdale, NJ 07403-1327 | 2015-09-15 |
1912158015 | David Kingsley | Radiology | 119 Demarest Rd, Bloomingdale, NJ 07403-1404 | 2008-10-07 |
Find all providers in zip 07403 |
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 |
---|---|---|---|---|
1043689540 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Winfred Ct, Bloomingdale, NJ 07403-1327 | 2015-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649871559 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Mamie Ct, Brick, NJ 08723-6438 | 2020-11-06 |
1316548167 | The Arc of Cape May County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 E Woodland Ave, Cape May Court House, NJ 08210-3815 | 2020-11-06 |
1730789447 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 209 Loganberry Ln, Freehold, NJ 07728-4045 | 2020-10-30 |
1881294858 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 Echohill Ln, Willingboro, NJ 08046-2205 | 2020-10-29 |
1093314759 | Fordham-lewis Consulting, L.L.C. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 94 Ramapo Valley Rd, Mahwah, NJ 07430-1161 | 2020-10-22 |
1487252177 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1476 W Terrace Cir Apt 2, Teaneck, NJ 07666-5230 | 2020-10-14 |
1215535422 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 231 Griggstown Rd, Belle Mead, NJ 08502-5204 | 2020-10-12 |
1003413311 | Excelsior Services Group LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Main Ave, Wood Ridge, NJ 07075-2055 | 2020-10-08 |
1659988178 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Heather Ln, Belle Mead, NJ 08502-5125 | 2020-09-29 |
1598372021 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 838 Long Road, Gillete, NJ 07933-0854 | 2020-09-29 |
Find all providers with the same taxonomy |
City | BLOOMINGDALE |
Zip Code | 07403 |
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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.