Pristine Care & Support Services LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Egg Harbor Township, New Jersey
1013623107- Practice location
- 3121 Fire RD Ste D310, Egg Harbor Township, NJ 08234-9619
- Phone
- 609-224-1099
- Fax
- 609-224-1099
- Last updated
- February 7, 2023
Pristine Care & Support Services LLC is a healthcare organization based in Egg Harbor Township, NJ. Pristine Care & Support Services LLC practices in Egg Harbor Township, NJ. The NPI Number for Pristine Care & Support Services LLC is 1013623107. The current practice location address for Pristine Care & Support Services LLC is 3121 Fire RD Ste D310, Egg Harbor Township, NJ 08234-9619 and can be reached out via phone at 609-224-1099 and via fax at 609-224-1099.
Provider Profile Details
- NPI Number
- 1013623107
- Provider Name
- Pristine Care & Support Services LLC
- Provider Entity Type
- Organization
- Address
- 3121 Fire RD Ste D310, Egg Harbor Township, NJ 08234-9619
- Phone Number
- 609-224-1099
- Fax Number
- 609-224-1099
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Mr. Ventley Young · Ceo · 609-224-1099
- Provider Enumeration Date
- January 23, 2023
- Last Update Date
- February 7, 2023
- Certification Date
- February 7, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3121 Fire RD Ste D310
Egg Harbor Township, NJ 08234-9619 - State
- New Jersey
- Zip
- 08234-9619
- Phone Number
- 609-224-1099
- Fax Number
- 609-224-1099
Provider Business Mailing Address Details
- Address
- 3121 Fire RD Ste D310
Egg Harbor Township, NJ 08234-9619 - City
- Egg Harbor Township
- State
- NJ
- Zip
- 08234-9619
- Phone Number
- 609-224-1099
- Fax Number
- 609-224-1099
License Information
- Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Pristine Care & Support Services LLC?
The NPI number of Pristine Care & Support Services LLC is 1013623107. It was assigned on January 23, 2023 and is currently active in the NPPES registry.
What is the specialty of Pristine Care & Support Services LLC?
Pristine Care & Support Services LLC is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X).
Where does Pristine Care & Support Services LLC practice?
The practice location is 3121 Fire RD Ste D310, Egg Harbor Township, NJ 08234-9619. The office can be reached at 609-224-1099 (phone) or 609-224-1099 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013623107 directly on the NPPES registry website.