CRESCENT AVE SUPPORTED LIVING NPI 1457867368

NPI Information

NPI: 1457867368
Provider Name: CRESCENT AVE SUPPORTED LIVING
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
125 CRESCENT AVE
WOODBURY, NJ
ZIP 08096
Phone: (856) 767-3650
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CRESCENT AVE SUPPORTED LIVING is a community based residential treatment facility, intellectual and/or developmental disabilities in Woodbury, NJ. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. CRESCENT AVE SUPPORTED LIVING NPI is 1457867368. The provider is registered as an organization entity type.

The provider's business location address is:

125 CRESCENT AVE
WOODBURY, NJ
ZIP 08096-001
Phone: (856) 767-3650

The provider's authorized official is Michelle Schwarz .
The authorized official title is Billing and has the following contact phone number (856) 768-8801.

The enumeration date for this NPI number is 12/15/2017 and was last updated on 12/15/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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