UNICORN SUPPORTIVE SERVICES (NPI# 1710400106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710400106 |
| Entity Type | Organization |
| Organization Name | UNICORN SUPPORTIVE SERVICES |
| Practice Address |
22 Valley Forge Dr Swedesboro NJ 08085-4230 |
| Practice Telephone | 8562785188 |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2017-07-21 |
| Authorized Official Name | MONDAY J GABRIEL (ADMINISTRATOR) |
| Authorized Official Telephone | 8562785188 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311Z00000X | Custodial Care Facility | NJ | Nursing & Custodial Care Facilities | |
| N | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
NJ | Nursing & Custodial Care Facilities | |
| N | 320700000X | Residential Treatment Facility, Physical Disabilities | NJ | Residential Treatment Facilities | |
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | NJ | Residential Treatment Facilities | |
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | NJ | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316438369 | Unicorn Supportive Services | Assisted Living Facility | 752 S East Ave, Vineland, NJ 08360-5890 | 2018-05-25 |
| 1225529274 | Unicorn Supportive Services | Assisted Living Facility | 729 E Chestnut Ave, Vineland, NJ 08360-5726 | 2018-05-25 |
| 1669963690 | Unicorn Supportive Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 890 E Walnut Rd, Vineland, NJ 08360-5032 | 2018-05-25 |
| 1982195962 | Unicorn Supportive Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 890 E Walnut Rd, Vineland, NJ 08360-5032 | 2018-05-24 |
| Street Address |
22 VALLEY FORGE DR |
| City | SWEDESBORO |
| State | NJ |
| Zip Code | 08085-4230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194361402 | Jennifer M Carson | Licensed Practical Nurse | 212 Copper Road, Swedesboro, NJ 08085 | 2019-11-21 |
| 1699265132 | Zachariah G Smith | Nurse Practitioner | 499 Beckett Rd Ste 201, Logan Twp, NJ 08085 | 2018-05-10 |
| 1295251767 | Tierra J Brown | Social Worker | 1 Pondview Drive, K206, Woolwich Township, NJ 08085 | 2017-08-16 |
| 1861817967 | Aktep Behavioral LLC | Counselor | 701 Worthington Dr., Moorestown, NJ 08085 | 2014-02-26 |
| 1144595356 | Advanced Dental of Woolwich | Dentist | 1630 Rt 322, Suite F, Woolwich, NJ 08085 | 2012-03-21 |
| 1043539588 | Suzanne Christine Foster-wolfe | Counselor | 318 Forrest Ln, Swedesboro, NJ 08085 | 2010-05-24 |
| 1902058639 | Helene Loubeau-magnet | Family Medicine | 134 Maple Hill Drive, Swedesboro, NJ 08085 | 2008-10-13 |
| 1447390299 | Leslie Alan Hess | Podiatrist | 300 Lexington Rd, Bldg. B Suite 230, Hess Ankle & Foot Center, Swedesboro, NJ 08085 | 2007-02-08 |
| 1205920162 | Bomze Westonpediatric Dentistry Associates | Dentist | 9 E. Main Street, Moorestown, NJ 08085 | 2006-10-03 |
| 1609807288 | Beckett Family Practice | Family Medicine | 545 Beckett Rd., Suite 806, Logan Twp., NJ 08085 | 2006-07-05 |
| Find all providers in zip 08085 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518207547 | Advoserv of New Jersey, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 399 Helms Ave, Swedesboro, NJ 08085-1017 | 2013-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508979 | A.d.e.p.t. Programs, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 760 Eayrestown Rd # B2-01, Lumberton, NJ 08048-3162 | 2020-11-05 |
| 1508467556 | A.d.e.p.t. Programs, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 760 Eayrestown Rd Apt A2-10, Lumberton, NJ 08048-3180 | 2020-11-05 |
| 1629684451 | Reed Next, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300 Avalon Dr Unit 3104, Wood Ridge, NJ 07075-1063 | 2020-09-17 |
| 1558971184 | Fordham-lewis Consulting, L.L.C. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 370 Clinton Ave, Wyckoff, NJ 07481-1939 | 2020-08-07 |
| 1649889668 | Options Imagined A Nj Nonprofit Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2467 State Route 10 Bldg 18-1a, Morris Plains, NJ 07950-1318 | 2020-07-27 |
| 1609405661 | New Horizons In Autism, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 718 Vivian Dr, Toms River, NJ 08753-5474 | 2020-04-02 |
| 1588299390 | Developmental Disability Awareness With Love (ddawl) | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2 Stiles Ln, Montville, NJ 07045-9424 | 2020-03-12 |
| 1265065981 | Olusina Oladipo Coker | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 424 Emma Dr, Toms River, NJ 08755-6412 | 2020-02-20 |
| 1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
| 1821638180 | Woods Manor | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 321 Overbrook Ave, Glassboro, NJ 08028-2029 | 2020-01-14 |
| Find all providers with the same taxonomy | ||||
| City | SWEDESBORO |
| Zip Code | 08085 |
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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.