EIHAB HUMAN SERVICES NEW JERSEY, INC.


Address: 69 Dutch Lane Rd, Freehold, NJ 07728-2211
Phone: 7182766101

EIHAB HUMAN SERVICES NEW JERSEY, INC. (NPI# 1386120830) 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) 1386120830
Entity Type Organization
Organization Name EIHAB HUMAN SERVICES NEW JERSEY, INC.
Practice Address 69 Dutch Lane Rd
Freehold
NJ 07728-2211
Mailing Address 16818 S Conduit Ave
Jamaica
NY 11434-4806
Practice Telephone 7182766101
Mailing Telephone 7182766101
Enumeration Date 2018-07-18
Last Update Date 2018-07-18
Authorized Official Name AHMED HEGAZY (CEO/EXECUTIVE DIRECTOR)
Authorized Official Telephone 7182766101
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management Agencies
N 251C00000X Day Training, Developmentally Disabled Services Agencies
N 251S00000X Community/Behavioral Health Agencies
N 253Z00000X In Home Supportive Care Agencies
N 385H00000X Respite Care Respite Care Facility
N 385HR2060X Respite Care
Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child
Respite Care Facility
N 320700000X Residential Treatment Facility, Physical Disabilities Residential Treatment Facilities
N 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities
N 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities
N 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities
N 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
Ambulatory Health Care Facilities
N 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities
N 315P00000X Intermediate Care Facility, Mentally Retarded Nursing & Custodial Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1124666920 Eihab Human Services New Jersey, Inc. Clinic/Center 1000 Axl Dr Apt 1-204, Toms River, NJ 08755-1625 2019-12-12
1922666338 Eihab Human Services New Jersey, Inc. Case Management 4 Beechwood Ave, Burlington, NJ 08016-3402 2019-05-31
1104483940 Eihab Human Services New Jersey, Inc. Case Management 728 Us Highway 206, Hillsborough, NJ 08844-1506 2019-05-28
1558928390 Eihab Human Services New Jersey, Inc. Clinic/Center 736 Us Highway 206, Hillsborough, NJ 08844-1506 2019-05-28
1093372872 Eihab Human Services New Jersey, Inc. Case Management 210 W Union Ave # B, Bound Brook, NJ 08805-1335 2019-05-28
1386201390 Eihab Human Services New Jersey, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 210 W Union Ave # A, Bound Brook, NJ 08805-1335 2019-05-24
1275006298 Eihab Human Services New Jersey, Inc. Case Management 1000 Axl Dr Apt 1-108, Toms River, NJ 08755-1625 2019-01-03
1710450739 Eihab Human Services New Jersey, Inc. Residential Treatment Facility, Physical Disabilities 1000 Axl Dr Apt 2-101, Toms River, NJ 08755-1625 2019-01-03
1154894038 Eihab Human Services New Jersey, Inc. Case Management 2000 Axl Dr Apt 2-107, Toms River, NJ 08755-1629 2019-01-03
1548733561 Eihab Human Services New Jersey, Inc. Community/Behavioral Health 2000 Axl Dr Apt 2-207, Toms River, NJ 08755-1629 2019-01-03

Office Location

Street Address 69 DUTCH LANE RD
City FREEHOLD
State NJ
Zip Code 07728-2211

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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306342373 Refocus Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 200 Round Hill Dr, Freehold, NJ 07728-8210 2018-03-30
1346622941 Opportunity Knocks, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 30 Jackson St, Unit S414, Freehold, NJ 07728-2474 2015-06-19
1558743153 Opportunity Knocks, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 85 Barkalow Ave, Freehold, NJ 07728-2060 2015-06-19
1750762704 Opportunity Knocks, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 101 Oriskany Dr, Freehold, NJ 07728-3344 2015-06-16

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Competitor

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City FREEHOLD
Zip Code 07728

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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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