Thywill Support Connections
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Maple Shade, New Jersey
1053029314- Practice location
- 615 Cutler Ave, Maple Shade, NJ 08052-2914
- Phone
- 908-963-3628
- Fax
- 856-382-7926
- Last updated
- November 7, 2022
Thywill Support Connections is a healthcare organization based in Maple Shade, NJ. Thywill Support Connections practices in Maple Shade, NJ. The NPI Number for Thywill Support Connections is 1053029314. The current practice location address for Thywill Support Connections is 615 Cutler Ave, Maple Shade, NJ 08052-2914 and can be reached out via phone at 908-963-3628 and via fax at 856-382-7926.
Provider Profile Details
- NPI Number
- 1053029314
- Provider Name
- Thywill Support Connections
- Provider Entity Type
- Organization
- Address
- 615 Cutler Ave, Maple Shade, NJ 08052-2914
- Phone Number
- 908-963-3628
- Fax Number
- 856-382-7926
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Mr. Cyril Dzidzeme Klutse · Administrator · 908-963-3628
- Provider Enumeration Date
- November 7, 2022
- Last Update Date
- November 7, 2022
- Certification Date
- November 6, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 615 Cutler Ave
Maple Shade, NJ 08052-2914 - City
- Maple Shade
- State
- New Jersey
- Zip
- 08052-2914
- Phone Number
- 908-963-3628
- Fax Number
- 856-382-7926
Provider Business Mailing Address Details
- Address
- 615 Cutler Ave
Maple Shade, NJ 08052-2914 - City
- Maple Shade
- State
- NJ
- Zip
- 08052-2914
- Phone Number
- 908-963-3628
- Fax Number
- 856-382-7926
License Information
- Taxonomy (1)
- In Home Supportive Care · 253Z00000X
- Taxonomy (2)
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320600000X
- Taxonomy (3)
- Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child · 385HR2060X
- Taxonomy (4)
- 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 Thywill Support Connections?
The NPI number of Thywill Support Connections is 1053029314. It was assigned on November 7, 2022 and is currently active in the NPPES registry.
What is the specialty of Thywill Support Connections?
Thywill Support Connections is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X).
Where does Thywill Support Connections practice?
The practice location is 615 Cutler Ave, Maple Shade, NJ 08052-2914. The office can be reached at 908-963-3628 (phone) or 856-382-7926 (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 1053029314 directly on the NPPES registry website.