DERLAN ENTERPRISES (NPI# 1306063557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306063557 |
| Entity Type | Organization |
| Organization Name | DERLAN ENTERPRISES |
| Other Organization Name | CENTER FOR GROWTH PARTIAL CARE |
| Practice Address |
498 William St East Orange NJ 07017-2214 |
| Mailing Address |
375 Pond Rd Bridgewater NJ 08807-2082 |
| Practice Telephone | 9736787445 |
| Practice Fax Number | 9736786611 |
| Mailing Telephone | 9736787445 |
| Mailing Fax Number | 9736786611 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2008-07-08 |
| Authorized Official Name | ARNOLD LIZARDO (PRESIDENT) |
| Authorized Official Telephone | 9736787445 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 10134-01-05 | NJ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0054399 | 05 |
| Other Name | Type Code |
|---|---|
| center for growth partial care | Doing Business As Name - Organization |
| Street Address |
498 WILLIAM ST |
| City | EAST ORANGE |
| State | NJ |
| Zip Code | 07017-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255993101 | Yvonne Jansen-pearce | Licensed Practical Nurse | 212 N Mum Ave., East Orange, NJ 07017 | 2019-07-01 |
| 1356821508 | Kinfolk Advanced Illness Nurse Practitioners | Nurse Practitioner | 16 Eastwood St, East Orange, NJ 07017 | 2018-08-17 |
| 1619490992 | Holy Hands Enterprises L.l.c | Home Health | 7 Glenwood Ave., Suite 419-b, 4th Floor., East Orange, NJ 07017 | 2017-07-19 |
| 1760902688 | Kenneth Amoah Gyan | Nurse Practitioner | 28a Melmore Gardens, East Orange, NJ 07017 | 2017-06-21 |
| 1487002192 | Robert William Reilly | Student in an Organized Health Care Education/Training Program | 344 Prospect Street, East Orange, NJ 07017 | 2016-06-03 |
| 1497114474 | Alicja U Pietrzak | Behavioral Analyst | 60 Evergreen Pl., 3rd Floor Suite 309, East Orange, NJ 07017 | 2016-02-18 |
| 1396147658 | Angela Gordon | Licensed Practical Nurse | 12 Lawton Street, East Orange, NJ 07017 | 2014-09-18 |
| 1063716488 | Yonas T Mehari | Specialist | 251 Hoffman Blvd, East Orange, NJ 07017 | 2010-12-28 |
| 1275833857 | Urban Healthcare Initiative Program Inc | Clinic/Center | 613 Park Avenue, East Orange, NJ 07017 | 2010-10-28 |
| 1881813285 | Trans America Care | Non-emergency Medical Transport (VAN) | 55 Washington Street, Suite# 308, East Orange, NJ 07017 | 2007-04-24 |
| Find all providers in zip 07017 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598257115 | Amazing Strides | Case Manager/Care Coordinator | 134 Greenwood Ave, East Orange, NJ 07017-5107 | 2018-05-30 |
| 1629565163 | Gloria Thora Johnson Appleton | Case Manager/Care Coordinator | 40 Watson Ave, East Orange, NJ 07018-3304 | 2018-04-19 |
| 1477067437 | Dwight Bostic Jr. | Case Manager/Care Coordinator | 86 S Harrison St Ste A, East Orange, NJ 07018-1748 | 2017-11-28 |
| 1861866469 | Antoinette Parks | Case Manager/Care Coordinator | 86 South Harrison St, East Orange, NJ 07018 | 2015-11-19 |
| 1265803704 | Esther Park | Case Manager/Care Coordinator | 49 Evergreen Place, East Orange, NJ 07018 | 2015-10-09 |
| 1174906127 | Qiana Laviena | Case Manager/Care Coordinator | 377 Dodd St, 2nd Floor, East Orange, NJ 07017-1701 | 2015-07-08 |
| 1780220376 | Terrell Baasit | Case Manager/Care Coordinator | 86 S Harrison St, East Orange, NJ 07018-1748 | 2019-11-19 |
| 1174164396 | Estefania Ailin Carmelino | Case Manager/Care Coordinator | 86 S Harrison St, East Orange, NJ 07018-1748 | 2019-09-30 |
| 1518513050 | Caroline Ortega | Case Manager/Care Coordinator | 86 S Harrison St, East Orange, NJ 07018-1748 | 2019-08-12 |
| 1063078822 | Aylin Kose | Case Manager/Care Coordinator | 86 S Harrison St, East Orange, NJ 07018-1748 | 2019-05-16 |
| Find all providers in EAST ORANGE | ||||
| City | EAST ORANGE |
| Zip Code | 07017 |
Please comment or provide details below to improve the information on DERLAN ENTERPRISES.
| 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.