EIHAB HUMAN SERVICES NEW JERSEY, INC.


Address: 4 Beechwood Ave, Burlington, NJ 08016-3402
Phone: 7182766101

EIHAB HUMAN SERVICES NEW JERSEY, INC. (NPI# 1922666338) 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) 1922666338
Entity Type Organization
Organization Name EIHAB HUMAN SERVICES NEW JERSEY, INC.
Practice Address 4 Beechwood Ave
Burlington
NJ 08016-3402
Mailing Address 16818 S Conduit Ave
Jamaica
NY 11434-4806
Practice Telephone 7182766101
Enumeration Date 2019-05-31
Last Update Date 2019-05-31
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 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
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
N 385H00000X Respite Care Respite Care Facility
N 385HR2060X Respite Care
Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child
Respite Care Facility
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment 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
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
1386116341 Eihab Human Services New Jersey, Inc. Case Management 1000 Axl Rd., Apt. 1-101, Toms River, NJ 08755 2018-12-31

Office Location

Street Address 4 BEECHWOOD AVE
City BURLINGTON
State NJ
Zip Code 08016-3402

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306487780 Neighbours-inc Community/Behavioral Health 409 Domininque Court, Burlinton, NJ 08016 2019-10-07
1881163368 Stacie Lynn Wible Speech-Language Pathologist 34 Mohawk Trail, Burlington, NJ 08016 2018-11-14
1619495520 Oaks Integrated Care Clinic/Center 2000 Burlington Bypass, Burlington, NJ 08016 2017-08-31
1700312113 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 16 Mohr Rd, Burlington, NJ 08016 2017-05-04
1013443431 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 16 Lardner Rd, Burlington, NJ 08016 2017-05-04
1174976955 Dungarvin New Jersey, LLC-yubas Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 22 Yubas Ave, Burlington, NJ 08016 2016-07-18
1477946937 Sina Durham Counselor 1 Beechwood Lane, Burlington, NJ 08016 2015-03-09
1336568138 Olayinka I Akeju Counselor 129 Riverwalk Blvd, Burlington Township, NJ 08016 2014-04-09
1477980316 Tia Jones Counselor 2000 Burlington By-pass, Burlington, NJ 08016 2013-10-10
1407282304 Ashley Taylor Phillips Pharmacist 2 West Route 130 South, Burlington, NJ 08016 2013-09-24
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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
1891357752 New Hope for Tomorrow LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 528 Baldwin Rd, Burlington, NC 27217-1702 2019-07-01
1639605843 Just In Time Youth Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 432 W 5th St, Burlington, NC 27215-3832 2017-05-08
1962825489 Signal Diymoke White Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 164 Graves St, Burlington, NC 27217-2628 2014-02-04
1063851897 Talley Family Care Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2266 Fitch Road, Burlington, NC 27217 2013-06-14
1225302425 Creative Directions Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 325 Hall Ave, Burlington, NC 27217-2313 2012-03-06
1538446232 Triad Health Care Services #2 Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 603 Pinnix Rd, Burlington, NC 27217-8555 2011-11-08
1386956183 Lord Is The Light Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2802 Eldermont St, Apt E, Burlington, NC 27215-6111 2010-07-08
1346571304 Blackwell's Community Living LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 426 Somers Ave, Burlington, NC 27215-2032 2010-01-14
1881890788 Hope Haven Cottonwood Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 910 Cottonwood Ct Ste 1002, Burlington, IA 52601-1994 2007-06-26
1144354614 Hope Haven Area Development Center Corporation Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2205 Northern Dr, Burlington, IA 52601-2256 2007-03-15
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Competitor

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City BURLINGTON
Zip Code 08016

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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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