Active NPIOrganization

Roseland Development Agency LLC

Community/Behavioral Health in Jersey City, New Jersey

NPI Number1164172391
Practice location
126 Randolph Ave Apt 1R, Jersey City, NJ 07305-4451
Fax
—
Last updated
April 27, 2022

Roseland Development Agency LLC is a healthcare organization based in Jersey City, NJ. Roseland Development Agency LLC practices in Jersey City, NJ. The NPI Number for Roseland Development Agency LLC is 1164172391. The current practice location address for Roseland Development Agency LLC is 126 Randolph Ave Apt 1R, Jersey City, NJ 07305-4451 and can be reached out via phone at 404-579-6261.

Provider Profile Details

NPI Number
1164172391
Provider Name
Roseland Development Agency LLC
Provider Entity Type
Organization
Address
126 Randolph Ave Apt 1R, Jersey City, NJ 07305-4451
Phone Number
404-579-6261
Primary Taxonomy
Community/Behavioral Health · 251S00000X
Organization Subpart
No
Authorized Official
Tarsha Lewis · Ceo · 404-579-6261
Provider Enumeration Date
March 29, 2022
Last Update Date
April 27, 2022
Certification Date
April 27, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
126 Randolph Ave Apt 1R
Jersey City, NJ 07305-4451
Zip
07305-4451
Phone Number
404-579-6261
Jersey City, NJ 07305Get directions →

Provider Business Mailing Address Details

Address
126 Randolph Ave Apt 1R
Jersey City, NJ 07305-4451
City
Jersey City
State
NJ
Zip
07305-4451
Phone Number
404-579-6261

License Information

Taxonomy (2)
Supports Brokerage · 251X00000X
Taxonomy (3)
Non-emergency Medical Transport (VAN) · 343900000X
Taxonomy (4)
Transportation Broker · 347E00000X
Taxonomy (5)
Respite Care · 385H00000X
Taxonomy (6)
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 Roseland Development Agency LLC?

The NPI number of Roseland Development Agency LLC is 1164172391. It was assigned on March 29, 2022 and is currently active in the NPPES registry.

What is the specialty of Roseland Development Agency LLC?

Roseland Development Agency LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).

Where does Roseland Development Agency LLC practice?

The practice location is 126 Randolph Ave Apt 1R, Jersey City, NJ 07305-4451. The office can be reached at 404-579-6261 (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 1164172391 directly on the NPPES registry website.

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