Theracare Of New Jersey Llc in Pennsauken - Community/behavioral Health
Theracare Of New Jersey Llc - NPI 1679619126
Theracare Of New Jersey Llc is a Community/behavioral Health in Pennsauken, 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 1679619126. The last update date is 2020-08-22.
Theracare Of New Jersey Llc's current location address is 6981 N Park Dr, Pennsauken, New Jersey. You can contact this provider via phone number 8003931306. The mailing address for Theracare Of New Jersey Llc is 6981 N Park Dr, Pennsauken, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Theracare Of New Jersey Llc |
|---|---|
| Address | 6981 N Park Dr, Pennsauken, New Jersey |
| Phone Number | 8003931306 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Calderon John |
| Telephone Number | 2125642350 |
NPI Number Detail
| NPI Number | 1679619126 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6981 N Park Dr |
|---|---|
| City | Pennsauken |
| State | New Jersey (NJ) |
| Post Code | 81094205 |
| Phone Number | 8003931306 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
|
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 |
|---|---|---|---|
| 20214 | NJ | -- |
Post Comment/ Review Below
What is the unique identifier 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) 1679619126. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Theracare Of New Jersey Llc's facilities are geographically located?
The facilities of Theracare Of New Jersey Llc are physically situated at the following location: 6981 N Park Dr, Pennsauken, NJ, 81094205.
What is the Theracare Of New Jersey Llc's specialty and taxonomy code?
The Theracare Of New Jersey Llc's specialty is Community/behavioral Health, and the corresponding taxonomy code is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679619126 to Theracare Of New Jersey Llc?
The Centers for Medicare & Medicaid Services originally issued the 1679619126 to Theracare Of New Jersey Llc on 2007-01-30.
When was the Theracare Of New Jersey Llc's information last updated?
The Theracare Of New Jersey Llc's information was last updated on 2020-08-22.
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