Active NPIOrganization

Standard Residential Care LLC

Psychologist, Adult Development & Aging in Maplewood, New Jersey

NPI Number1245836287
Practice location
92 Burnett Ave Apt 306, Maplewood, NJ 07040-2984
Fax
—
Last updated
September 11, 2025

Standard Residential Care LLC is a healthcare organization based in Maplewood, NJ. Standard Residential Care LLC practices in Maplewood, NJ. The NPI Number for Standard Residential Care LLC is 1245836287. The current practice location address for Standard Residential Care LLC is 92 Burnett Ave Apt 306, Maplewood, NJ 07040-2984 and can be reached out via phone at 862-684-0895.

Provider Profile Details

NPI Number
1245836287
Provider Name
Standard Residential Care LLC
Provider Entity Type
Organization
Address
92 Burnett Ave Apt 306, Maplewood, NJ 07040-2984
Phone Number
862-684-0895
Primary Taxonomy
Psychologist, Adult Development & Aging · 103TA0700X
Organization Subpart
No
Authorized Official
Bebytho Timothe, LPN · Managing Member · 862-684-0895
Provider Enumeration Date
December 7, 2020
Last Update Date
September 11, 2025
Certification Date
December 7, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
92 Burnett Ave Apt 306
Maplewood, NJ 07040-2984
Zip
07040-2984
Phone Number
862-684-0895
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
92 Burnett Ave Apt 306
Maplewood, NJ 07040-2984
City
Maplewood
State
NJ
Zip
07040-2984
Phone Number
862-684-0895

License Information

Taxonomy
Psychologist, Adult Development & Aging · 103TA0700X · 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 Standard Residential Care LLC?

The NPI number of Standard Residential Care LLC is 1245836287. It was assigned on December 7, 2020 and is currently active in the NPPES registry.

What is the specialty of Standard Residential Care LLC?

Standard Residential Care LLC is registered under the primary taxonomy Psychologist, Adult Development & Aging (code 103TA0700X).

Where does Standard Residential Care LLC practice?

The practice location is 92 Burnett Ave Apt 306, Maplewood, NJ 07040-2984. The office can be reached at 862-684-0895 (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 1245836287 directly on the NPPES registry website.

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