Active NPIOrganization

Grace Haven Support Service LLC

Community/Behavioral Health in Linden, New Jersey

NPI Number1124930045
Practice location
1703 Mildred Ave, Linden, NJ 07036-1758
Fax
—
Last updated
September 17, 2026

Grace Haven Support Service LLC is a healthcare organization based in Linden, NJ. Grace Haven Support Service LLC practices in Linden, NJ. The NPI Number for Grace Haven Support Service LLC is 1124930045. The current practice location address for Grace Haven Support Service LLC is 1703 Mildred Ave, Linden, NJ 07036-1758 and can be reached out via phone at 908-377-2337.

Provider Profile Details

NPI Number
1124930045
Provider Name
Grace Haven Support Service LLC
Provider Entity Type
Organization
Address
1703 Mildred Ave, Linden, NJ 07036-1758
Phone Number
908-377-2337
Primary Taxonomy
Community/Behavioral Health · 251S00000X
Organization Subpart
No
Authorized Official
Chidinma Enyi · Owner · 908-377-2337
Provider Enumeration Date
September 17, 2026
Last Update Date
September 17, 2026
Certification Date
September 17, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1703 Mildred Ave
Linden, NJ 07036-1758
City
Linden
Zip
07036-1758
Phone Number
908-377-2337
Linden, NJ 07036Get directions →

Provider Business Mailing Address Details

Address
1703 Mildred Ave
Linden, NJ 07036-1758
City
Linden
State
NJ
Zip
07036-1758
Phone Number
908-377-2337

License Information

Taxonomy
Community/Behavioral Health · 251S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Grace Haven Support Service LLC?

The NPI number of Grace Haven Support Service LLC is 1124930045. It was assigned on September 17, 2026 and is currently active in the NPPES registry.

What is the specialty of Grace Haven Support Service LLC?

Grace Haven Support Service LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).

Where does Grace Haven Support Service LLC practice?

The practice location is 1703 Mildred Ave, Linden, NJ 07036-1758. The office can be reached at 908-377-2337 (phone).

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 1124930045 directly on the NPPES registry website.

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