Serv Connect, INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Willingboro, New Jersey
1063149169- Practice location
- 99 Country Club RD, Willingboro, NJ 08046-3534
- Phone
- 609-406-0100
- Fax
- 609-406-0307
- Last updated
- August 24, 2023
Serv Connect, INC is a healthcare organization based in Willingboro, NJ. Serv Connect, INC practices in Willingboro, NJ. The NPI Number for Serv Connect, INC is 1063149169. The current practice location address for Serv Connect, INC is 99 Country Club RD, Willingboro, NJ 08046-3534 and can be reached out via phone at 609-406-0100 and via fax at 609-406-0307.
Provider Profile Details
- NPI Number
- 1063149169
- Provider Name
- Serv Connect, INC
- Provider Entity Type
- Organization
- Address
- 99 Country Club RD, Willingboro, NJ 08046-3534
- Phone Number
- 609-406-0100
- Fax Number
- 609-406-0307
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Robert Bacon · Chief Operating Officer · 609-662-3202
- Provider Enumeration Date
- August 8, 2022
- Last Update Date
- August 24, 2023
- Certification Date
- August 24, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 99 Country Club RD
Willingboro, NJ 08046-3534 - City
- Willingboro
- State
- New Jersey
- Zip
- 08046-3534
- Phone Number
- 609-406-0100
- Fax Number
- 609-406-0307
Provider Business Mailing Address Details
- Address
- 20 Scotch RD Fl 3
Ewing, NJ 08628-2529 - City
- Ewing
- State
- NJ
- Zip
- 08628-2529
- Phone Number
- 609-406-0100
- Fax Number
- 609-406-0307
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 Serv Connect, INC?
The NPI number of Serv Connect, INC is 1063149169. It was assigned on August 8, 2022 and is currently active in the NPPES registry.
What is the specialty of Serv Connect, INC?
Serv Connect, INC is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X).
Where does Serv Connect, INC practice?
The practice location is 99 Country Club RD, Willingboro, NJ 08046-3534. The office can be reached at 609-406-0100 (phone) or 609-406-0307 (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 1063149169 directly on the NPPES registry website.