JESSICA LYNN CUSTER (NPI# 1568016756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568016756 |
Entity Type | Individual |
Full Name | JESSICA LYNN CUSTER |
Practice Address |
141 Millbrook Rd Hardwick NJ 07825-9613 |
Practice Telephone | 9739037607 |
Mailing Telephone | 9739037607 |
Enumeration Date | 2019-07-26 |
Last Update Date | 2019-07-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 347C00000X | Private Vehicle | Transportation Services | ||
N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
N | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers | ||
Y | 385H00000X | Respite Care | Respite Care Facility | ||
N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043701766 | Jessica Lamae Custer | Social Worker | 1200 W Ironwood Dr, Coeur D Alene, ID 83814-2660 | 2018-05-29 |
Street Address |
141 MILLBROOK RD |
City | HARDWICK |
State | NJ |
Zip Code | 07825-9613 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598127722 | Jessi Sugar | Pharmacist | 152 Route 94, Blairstown, NJ 07825 | 2016-03-26 |
1043695455 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 31 Stillwater Road, Hardwick, NJ 07825 | 2015-07-27 |
1073857603 | North Warren Emergency Medical Services | Ambulance | 2 Stillwater Road, Blairstown, NJ 07825 | 2012-11-20 |
1770728644 | Gerald Bsales | Physical Therapy Assistant | 145 State Park Rd, Blairstown, NJ 07825 | 2008-12-08 |
1215112271 | George B. Young | Dentist | 222 Rte. 94, Blairstown, NJ 07825 | 2008-01-08 |
1083893754 | Allen M Fellows | Internal Medicine | 5 Allengrove Dr, Blairstown, NJ 07825 | 2007-10-30 |
1083836480 | Blairstown Elementary School | Local Education Agency (LEA) | 1 Sunset Hill Rd., Blairstown, NJ 07825 | 2007-05-03 |
1508086869 | Robert Paul Schwartz | Dentist | 4 Cherokee Trail, Blairstown, NJ 07825 | 2007-04-27 |
1679654099 | Joaquin Emilio Gonzalez-melquiades | Physician Assistant | 3 Mcconachy Lane, Blairstown, NJ 07825 | 2006-10-19 |
1588765283 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 151 Route 94, Blairstown, NJ 07825 | 2006-09-26 |
Find all providers in zip 07825 |
Taxonomy Code | 385H00000X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083211916 | Halimat S Akanbi | Respite Care | 8803 Timberline Ct, Monmouth Junction, NJ 08852-2290 | 2020-10-05 |
1740897792 | Tabatha Ann Mealey | Respite Care | 198 Bellevue Ave, Montclair, NJ 07043-1892 | 2020-09-24 |
1164035077 | Family Choice Community Services LLC | Respite Care | 102 Ruby Dr, Egg Harbor Twp, NJ 08234-5928 | 2020-08-28 |
1316560501 | Delores Heart,llc | Respite Care | Delores Heart, 17 Dodd St. Ste A5, Bloomfield, NJ 07003 | 2020-05-21 |
1134758642 | Debra Mcgauley-eichhorn | Respite Care | 29 Montvale Ave, Montvale, NJ 07645-1427 | 2020-04-06 |
1285260877 | Beatriz Wahl | Respite Care | 37-10 Lenox Dr, Fair Lawn, NJ 07410-4039 | 2020-03-16 |
1497380513 | Angelic Pless | Respite Care | 44 Woodshire Dr, Sicklerville, NJ 08081-2212 | 2020-03-09 |
1578198057 | Caringhouse Projects, Inc | Respite Care | 7 New Way Ct, Willingboro, NJ 08046-1359 | 2020-03-05 |
1326684820 | Home With You, LLC | Respite Care | 1 Vreeland Unit 402, Edgewater, NJ 07020-1803 | 2019-11-20 |
1689235046 | Ssny Cares LLC | Respite Care | 186 Route 537, Colts Neck, NJ 07722-1678 | 2019-06-26 |
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.