Theracare Of New Jersey Llc in Clark - Community/behavioral Health
Theracare Of New Jersey Llc - NPI 1174669626
Theracare Of New Jersey Llc is a Community/behavioral Health in Clark, New Jersey. Theracare Of New Jersey Llc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Theracare Of New Jersey Llc is 1174669626. The last update date is 2007-12-11.
Theracare Of New Jersey Llc's current location address is 67 Walnut Ave, Clark, New Jersey. You can contact this provider via phone number 8883112611. The mailing address for Theracare Of New Jersey Llc is 67 Walnut Ave, Clark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Theracare Of New Jersey Llc |
|---|---|
| Address | 67 Walnut Ave, Clark, New Jersey |
| Phone Number | 8883112611 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Calderon John |
| Telephone Number | 2125642350 |
NPI Number Detail
| NPI Number | 1174669626 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-12-11 |
Provider Mailing Address Detail
| Address | 67 Walnut Ave |
|---|---|
| City | Clark |
| State | New Jersey (NJ) |
| Post Code | 70661640 |
| Phone Number | 8883112611 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38679 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Theracare Of New Jersey Llc by the Centers for Medicare & Medicaid Services?
The Theracare Of New Jersey Llc has been assigned the NPI (National Provider Identifier) 1174669626 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Theracare Of New Jersey Llc's physical address?
The Theracare Of New Jersey Llc is physically located at 67 Walnut Ave, in the city of Clark, NJ, with the postal code 70661640.
What is Theracare Of New Jersey Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Theracare Of New Jersey Llc's specialized field of practice is Community/behavioral Health, and the corresponding taxonomy code that categorizes this area of specialization is 251S00000X.
On what date did Theracare Of New Jersey Llc receive its 1174669626 assignment from the Centers for Medicare & Medicaid Services?
The Theracare Of New Jersey Llc was assigned its 1174669626 on 2007-01-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Theracare Of New Jersey Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Theracare Of New Jersey Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-12-11.