RES-CARE NEW JERSEY INC. NPI 1467784215

NPI Information

NPI: 1467784215
Provider Name: RES-CARE NEW JERSEY, INC.

Doing Business As: RESCARE HOMECARE NEW JERSEY

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
171 WOODPORT RD
SPARTA, NJ
ZIP 07871
Phone: (502) 394-2100
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RES-CARE NEW JERSEY, INC. is an intermediate care facility mentally retarded in Sparta, NJ. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. RES-CARE NEW JERSEY, INC. NPI is 1467784215. The provider is registered as an organization entity type.
The provider Is Doing Business As Rescare Homecare New Jersey.

The provider's business location address is:

171 WOODPORT RD
SPARTA, NJ
ZIP 07871-633
Phone: (502) 394-2100

The provider's authorized official is Timothy Tyler Whobrey .
The authorized official title is Provider Enrollment and has the following contact phone number (502) 630-7249.

The enumeration date for this NPI number is 2/4/2010 and was last updated on 5/29/2020.

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	315P00000X	Intermediate Care Facility, Intellectual Disabilities			NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0241423	MEDICAID	NEW JERSEY

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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