TIFFANY LECATOR


Address: 828 Blackwood Clementon Rd Apt 104, Pine Hill, NJ 08021-6819
Phone: 8562654928

TIFFANY LECATOR (NPI# 1366840985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366840985
Entity Type Individual
Full Name TIFFANY LECATOR
Practice Address 828 Blackwood Clementon Rd Apt 104
Pine Hill
NJ 08021-6819
Practice Telephone 8562654928
Mailing Telephone 8562654928
Enumeration Date 2014-12-13
Last Update Date 2014-12-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities NJ Residential Treatment Facilities

Office Location

Street Address 828 BLACKWOOD CLEMENTON RD APT 104
City PINE HILL
State NJ
Zip Code 08021-6819

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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285247916 Kelsch Associates Inc. New Jersey Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 828 Blackwood Clementon Rd Apt G-134, Pine Hill, NJ 08021-6888 2020-08-24
1376155093 Kelsch Associates Inc. New Jersey Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 828 Blackwood Clementon Rd Apt G-137, Pine Hill, NJ 08021-6888 2020-08-24
1073126702 Kelsch Associates Inc. New Jersey Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 828 Blackwood Clementon Rd Apt I-174, Pine Hill, NJ 08021-6888 2020-08-24
1710590443 Kelsch Associates Inc. New Jersey Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 828 Blackwood Clementon Rd Apt I-177, Pine Hill, NJ 08021-6888 2020-08-24
1932660511 Alfa Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 119 E Clearview Ave, Pine Hill, NJ 08021-7318 2019-03-27
1134671456 Kelsch Associates Inc. New Jersey Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 35 E Buttonwood Ave, Pine Hill, NJ 08021-6412 2016-11-03

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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
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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
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Competitor

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City PINE HILL
Zip Code 08021

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Dataset Information

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.

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