PASSION CARE CENTER (NPI# 1326477027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326477027 |
| Entity Type | Organization |
| Organization Name | PASSION CARE CENTER |
| Practice Address |
187 Fayette Street Perth Amboy NJ 08861 |
| Practice Telephone | 7324107102 |
| Practice Fax Number | 7324008503 |
| Mailing Telephone | 7324107102 |
| Mailing Fax Number | 7324008503 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2019-01-17 |
| Authorized Official Name | MR. ELIEZER SANTIAGO (PROGRMA ADMINISTRATOR) |
| Authorized Official Telephone | 7324107102 |
| Authorized Official Credential | M.A., M.B.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
2000575 | NJ | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PASSION CARE CENTER CORPORATION, THE | 187 Fayette St, Perth Amboy, NJ 08861 |
| Colorado Business Entities | Passion Care Center, LLC | 19602 E Garden Drive, Centennial, CO 80015 |
| Street Address |
187 FAYETTE STREET |
| City | PERTH AMBOY |
| State | NJ |
| Zip Code | 08861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043682149 | The Passion Care Center | Clinic/Center | 187 Fayette Street, Perth Amboy, NJ 08861 | 2015-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961056 | Elahe Marandi | Student in an Organized Health Care Education/Training Program | 530 Brunswick Avenue, Perth Amboy, NJ 08861 | 2020-04-22 |
| 1942770193 | Bensen Larose | Physical Therapy Assistant | 10 Harbor Terrace Apt 3k, Perth Amboy, NJ 08861 | 2018-11-30 |
| 1679098578 | Elizabeth Hernandez | Social Worker | 109 Broad St., Perth Amboy, NJ 08861 | 2017-08-11 |
| 1114463577 | Iryna Gutsulyak | Behavioral Analyst | 768 Central Place, Perth Amboy, NJ 08861 | 2017-01-10 |
| 1821544552 | Demi Marie Mendez | Specialist/Technologist | 147 Market Street 2nd Floor, Perth Amboy, NJ 08861 | 2016-09-01 |
| 1174987325 | Mc Laney Moise | Social Worker | 597 Harbortown Blvd Bldg 43, Perth Amboy, NJ 08861 | 2016-04-13 |
| 1609201813 | Payal Patel | Physical Therapist | 553 Sayre Ave Ste 104, Perth Amboy, NJ 08861 | 2013-09-06 |
| 1750628301 | Opticare Physical Therapy, LLP | Physical Therapist | 155 New Brunswick Avenue, Perth Amboy, NJ 08861 | 2013-01-15 |
| 1467701094 | Monica Medina | Social Worker | 271 Smith Street, Perth Amboy, NJ 08861 | 2012-08-29 |
| 1336402270 | Racquel Rodney | Specialist | 116 1/2 Rector St, Perth Amboy, NJ 08861 | 2012-06-15 |
| Find all providers in zip 08861 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332386 | Clarity Treatment Center, LLC | Clinic/Center | 262 State St, Perth Amboy, NJ 08861-4348 | 2017-12-24 |
| 1164954285 | Clarity Treatment Services, LLC | Clinic/Center | 262 State St, Perth Amboy, NJ 08861-4348 | 2017-03-29 |
| 1174943906 | Clarity Treatment Services, LLC | Clinic/Center | 262 State St, Perth Amboy, NJ 08861-4348 | 2014-04-19 |
| 1699082164 | Journey To Wellness, Inc. | Clinic/Center | 222 New Brunswick Ave, Perth Amboy, NJ 08861-4126 | 2010-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1437764354 | Phoenix Behavioral Health LLC | Clinic/Center | 102 Browning Ln Ste 2, Cherry Hill, NJ 08003-3195 | 2020-09-09 |
| 1710504881 | Vimax LLC | Clinic/Center | 6 Cornwall Ct, East Brunswick, NJ 08816-3347 | 2020-07-06 |
| 1588289615 | Camden County Suboxone LLC | Clinic/Center | 8 Somerdale Sq, Somerdale, NJ 08083-1345 | 2020-06-15 |
| 1558905380 | Grace Community Development Center | Clinic/Center | 100 Melville Ln, Willingboro, NJ 08046-2912 | 2019-11-05 |
| 1740822121 | The Empowerment House, Non Profit Inc. | Clinic/Center | 1314 S Clinton Ave, Trenton, NJ 08611-1436 | 2019-10-17 |
| 1265088892 | Absolute Awakenings Treatment Center LLC | Clinic/Center | 3000 Route 10 West, Denville, NJ 07834 | 2019-08-09 |
| 1326607243 | Recovery Zone Solutions, LLC | Clinic/Center | 124 East Main Street, Ste#109, Denville, NJ 07834 | 2019-06-13 |
| 1720644800 | Ars Treatment Centers of New Jersey, PC | Clinic/Center | 4 Murray Grove Ln, Lanoka Harbor, NJ 08734-2837 | 2019-05-14 |
| 1184182230 | Turning Point, Inc. | Clinic/Center | 101 Prospect St Ste 210, Lakewood, NJ 08701-5003 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
| City | PERTH AMBOY |
| Zip Code | 08861 |
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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.