UNLOCKED POTENTIAL, LLC (NPI# 1992242796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992242796 |
| Entity Type | Organization |
| Organization Name | UNLOCKED POTENTIAL, LLC |
| Other Organization Name | UNLOCKED POTENTIAL |
| Practice Address |
331 Dorn Ave Middlesex NJ 08846-1117 |
| Practice Telephone | 7323393100 |
| Practice Fax Number | 7326018715 |
| Mailing Telephone | 7323393100 |
| Mailing Fax Number | 7326018715 |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |
| Authorized Official Name | MS. KIMBERLY KEYES (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7323393100 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
NJ | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1508269911 | 05 |
| Other Name | Type Code |
|---|---|
| Unlocked Potential | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508269911 | Unlocked Potential, LLC | Community/Behavioral Health | 331 Dorn Ave, Middlesex, NJ 08846-1117 | 2014-09-30 |
| Street Address |
331 DORN AVE |
| City | MIDDLESEX |
| State | NJ |
| Zip Code | 08846-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750717229 | Molly Smith | Speech-Language Pathologist | 331 Dorn Ave, Middlesex, NJ 08846 | 2013-09-17 |
| 1649870759 | Mikaela Emily Grande | Behavioral Analyst | 331 Dorn Ave, Middlesex, NJ 08846 | 2020-10-28 |
| 1851906945 | Joseph Tonetti | Behavioral Analyst | 331 Dorn Ave, Middlesex, NJ 08846-1117 | 2020-09-15 |
| 1821601717 | Karen Law | Behavioral Analyst | 331 Dorn Ave, Middlesex, NJ 08846-1117 | 2020-08-28 |
| 1578175774 | John Grenda | Behavioral Analyst | 331 Dorn Ave, Middlesex, NJ 08846-1117 | 2020-08-19 |
| 1073124731 | Allison Goodman | Behavioral Analyst | 331 Dorn Ave, Middlesex, NJ 08846-1117 | 2020-08-14 |
| 1598393886 | Sarah Kimble-newby | Behavioral Analyst | 331 Dorn Ave, Middlesex, NJ 08846-1117 | 2020-03-31 |
| 1184258048 | Adrianne Michelle Schroepfer | Behavioral Analyst | 331 Dorn Ave, Middlesex, NJ 08846-1117 | 2020-02-28 |
| 1154818854 | Shirin Pourshariati | Behavioral Analyst | 331 Dorn Ave, Middlesex, NJ 08846-1117 | 2018-04-18 |
| 1811393614 | Danielle Cadott | Behavioral Analyst | 331 Dorn Ave, Middlesex, NJ 08846-1117 | 2014-11-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801269105 | Caringhouse Projects, Inc | Respite Care | 7 Venice Avenue, Middlesex, NJ 08846 | 2015-11-09 |
| 1295131175 | Absolute Interventional Pain Medicine and Rehab PC | Pain Medicine | 1317 Bound Brook Road, Middlesex, NJ 08846 | 2014-11-05 |
| 1992131858 | Vanessa Vanegas | Occupational Therapist | 29 Wilson Street, Middlesex, NJ 08846 | 2013-09-23 |
| 1124360730 | Deanne Confalone | Dentist | 469 Union Avenue, Middlesex, NJ 08846 | 2013-03-21 |
| 1245534171 | Lisa A. Perry | Social Worker | 147 Union Avenue, Suite 2, Middlesex, NJ 08846 | 2011-01-06 |
| 1750555983 | Technical Gas Products, Inc | Durable Medical Equipment & Medical Supplies | 1001 Lincoln Blvd, Suite D, Middlesex, NJ 08846 | 2008-04-18 |
| 1407068216 | Michael Maser, Agnieszka Bara, D.m.d., LLC | Dentist | 476 Union Ave, Middlesex, NJ 08846 | 2007-05-04 |
| 1417052879 | Louis W Barile | Chiropractor | 619 Union Ave Bldg 2, Middlesex, NJ 08846 | 2006-09-13 |
| 1760921803 | Center for Network Therapy II Inc | Clinic/Center | 333 Cedar Ave, Building B Suite 3, Middlesex, NJ 08846 | 2017-02-22 |
| 1013292820 | Ronald Carl Tkacz | Pharmacist | 738 Union Ave, Middlesex, NJ 08846 | 2011-10-13 |
| Find all providers in zip 08846 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689200065 | Specialized Quality Care LLC | Respite Care | 76 Elderberry Ln, Willingboro, NJ 08046-2418 | 2020-03-18 |
| 1558827147 | Altruistic Visions A Nj Nonprofit Corporation | Respite Care | 665 Springdale Ave, East Orange, NJ 07017-1610 | 2019-02-19 |
| 1487138715 | Joyce Omoro | Respite Care | 1327 Liberty Ave, Union, NJ 07083-4129 | 2018-09-22 |
| 1326527920 | Kelli Sue Portland | Respite Care | 5 N Ridge Ct, Milford, NJ 08848-1654 | 2018-08-14 |
| 1134626591 | Laura Fonville | Respite Care | 218 Pine Ave, Egg Harbor Township, NJ 08234-5339 | 2018-04-11 |
| 1568967073 | Educational Partnership for Inclusive Communities Inc | Respite Care | 135 Geering Ter, Paramus, NJ 07652-4416 | 2018-03-27 |
| 1073022455 | Creative Healthcare Services Corporation | Respite Care | 600 Route 168, Turnersville, NJ 08012-1495 | 2017-09-28 |
| 1831617026 | Broadway Respite and Home Care, LLC | Respite Care | 1007 Livingston Ave, North Brunswick, NJ 08902 | 2017-09-07 |
| 1891229142 | Arc of Essex County | Respite Care | 123 Naylon Avenue, Livingston, NJ 07419 | 2017-04-13 |
| 1467993246 | Sia Kendema | Respite Care | 102 Paine Avenue, Irvington, NJ 07111 | 2017-03-14 |
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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.