Providence Support Services
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bordentown, New Jersey
1225841968- Practice location
- 3 Ridgewood Dr, Bordentown, NJ 08505-4737
- Phone
- 732-322-3924
- Fax
- 267-841-7275
- Last updated
- January 28, 2025
Providence Support Services is a healthcare organization based in Bordentown, NJ. Providence Support Services practices in Bordentown, NJ. The NPI Number for Providence Support Services is 1225841968. The current practice location address for Providence Support Services is 3 Ridgewood Dr, Bordentown, NJ 08505-4737 and can be reached out via phone at 732-322-3924 and via fax at 267-841-7275.
Provider Profile Details
- NPI Number
- 1225841968
- Provider Name
- Providence Support Services
- Provider Entity Type
- Organization
- Address
- 3 Ridgewood Dr, Bordentown, NJ 08505-4737
- Phone Number
- 732-322-3924
- Fax Number
- 267-841-7275
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Mr. Henry O Adebayo, N/A · President · 732-322-3924
- Provider Enumeration Date
- January 28, 2025
- Last Update Date
- January 28, 2025
- Certification Date
- January 28, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3 Ridgewood Dr
Bordentown, NJ 08505-4737 - City
- Bordentown
- State
- New Jersey
- Zip
- 08505-4737
- Phone Number
- 732-322-3924
- Fax Number
- 267-841-7275
Provider Business Mailing Address Details
- Address
- 3 Ridgewood Dr
Bordentown, NJ 08505-4737 - City
- Bordentown
- State
- NJ
- Zip
- 08505-4737
- Phone Number
- 732-322-3924
- Fax Number
- 267-841-7275
License Information
- Taxonomy (1)
- Home Health · 251E00000X
- Taxonomy (2)
- Community/Behavioral Health · 251S00000X
- Taxonomy (3)
- In Home Supportive Care · 253Z00000X
- 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. | |||
Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers near Bordentown, NJ
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Frequently Asked Questions
What is the NPI number of Providence Support Services?
The NPI number of Providence Support Services is 1225841968. It was assigned on January 28, 2025 and is currently active in the NPPES registry.
What is the specialty of Providence Support Services?
Providence Support Services is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X).
Where does Providence Support Services practice?
The practice location is 3 Ridgewood Dr, Bordentown, NJ 08505-4737. The office can be reached at 732-322-3924 (phone) or 267-841-7275 (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 1225841968 directly on the NPPES registry website.