KENVIC CARE LLC (NPI# 1386276798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386276798 |
| Entity Type | Organization |
| Organization Name | KENVIC CARE LLC |
| Practice Address |
238 Wood Ave Iselin NJ 08830-1335 |
| Practice Telephone | 9082757319 |
| Mailing Telephone | 9082757319 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | DANIE SAGET THEODORE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9082757319 |
| Authorized Official Credential | RN |
| 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 | Residential Treatment Facilities |
| Street Address |
238 WOOD AVE |
| City | ISELIN |
| State | NJ |
| Zip Code | 08830-1335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013492271 | Anum Hassan | Audiologist | Woodbridge Corporate Plaza, 485 Route 1 South, Building B, Suite 350, Iselin, NJ 08830 | 2018-10-03 |
| 1437635117 | Ryan L Maurer | Optometrist | 485 Rt 1s, Building, Iselin, NJ 08830 | 2018-07-16 |
| 1003334673 | Rachel Nyaanga | Counselor | 203 Rivington St, Iselin, NJ 08830 | 2017-09-05 |
| 1427570464 | Eric Robert Devore | Optometrist | 485 Route 1 South Building A, Omni Eye Serevices, Iselin, NJ 08830 | 2017-07-12 |
| 1720500762 | Natalie Nguyen | Optometrist | 485 Route 1 South, Building A, Omni Eye Services, Iselin, NJ 08830 | 2017-07-12 |
| 1548617905 | Healthy Body Healthy Mind LLC | Community/Behavioral Health | 97 Grand Avenue, Iselin, NJ 08830 | 2016-05-16 |
| 1710344023 | Pallavi Baskaralingam | Nurse Practitioner | 38 West George Place, Iselin, NJ 08830 | 2016-01-19 |
| 1851722565 | Kelly Di Fabio | Dietitian, Registered | 485c Us Highway 1 South, Suite 350, Room 104, Iselin, NJ 08830 | 2013-12-05 |
| 1609212570 | Kenneth Bruce Harpster | Specialist/Technologist | 200 Middlesex - Essex Turnpike, Suite 306n, Iselin, NJ 08830 | 2013-05-17 |
| 1548565138 | Nancy Vasco | Physical Therapy Assistant | 30 Trento St, Iselin, NJ 08830 | 2011-01-13 |
| Find all providers in zip 08830 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.