Ebony Island Shelter Company
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Sicklerville, New Jersey
1437462504- Practice location
- 127 Eastmont Ln, Sicklerville, NJ 08081-1913
- Phone
- 856-262-7396
- Fax
- 856-262-8691
- Last updated
- July 19, 2010
Ebony Island Shelter Company is a healthcare organization based in Sicklerville, NJ. Ebony Island Shelter Company practices in Sicklerville, NJ. The NPI Number for Ebony Island Shelter Company is 1437462504 and holds a License No. V58475691600 (NJ). The current practice location address for Ebony Island Shelter Company is 127 Eastmont Ln, Sicklerville, NJ 08081-1913 and can be reached out via phone at 856-262-7396 and via fax at 856-262-8691.
Provider Profile Details
- NPI Number
- 1437462504
- Provider Name
- Ebony Island Shelter Company
- Provider Entity Type
- Organization
- Address
- 127 Eastmont Ln, Sicklerville, NJ 08081-1913
- Phone Number
- 856-262-7396
- Fax Number
- 856-262-8691
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Mr. John Hagans · President · 856-262-7396
- Provider Enumeration Date
- July 19, 2010
- Last Update Date
- July 19, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 127 Eastmont Ln
Sicklerville, NJ 08081-1913 - City
- Sicklerville
- State
- New Jersey
- Zip
- 08081-1913
- Phone Number
- 856-262-7396
- Fax Number
- 856-262-8691
Provider Business Mailing Address Details
- Address
- 127 Eastmont Ln
Sicklerville, NJ 08081-1913 - City
- Sicklerville
- State
- NJ
- Zip
- 08081-1913
- Phone Number
- 856-262-7396
- Fax Number
- 856-262-8691
License Information
- License Number
- V58475691600
- License State
- NJ
- 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 Ebony Island Shelter Company?
The NPI number of Ebony Island Shelter Company is 1437462504. It was assigned on July 19, 2010 and is currently active in the NPPES registry.
What is the specialty of Ebony Island Shelter Company?
Ebony Island Shelter Company is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X), licensed in NJ under license number V58475691600.
Where does Ebony Island Shelter Company practice?
The practice location is 127 Eastmont Ln, Sicklerville, NJ 08081-1913. The office can be reached at 856-262-7396 (phone) or 856-262-8691 (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 1437462504 directly on the NPPES registry website.