Center For Family Support, New Jersey, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bloomfield, New Jersey
1467986414- Practice location
- 694 E Passaic Ave, Bloomfield, NJ 07003-4429
- Phone
- 973-771-9391
- Fax
- 973-771-9486
- Last updated
- April 17, 2017
Center For Family Support, New Jersey, INC. is a healthcare organization based in Bloomfield, NJ. Center For Family Support, New Jersey, INC. practices in Bloomfield, NJ. The NPI Number for Center For Family Support, New Jersey, INC. is 1467986414 and holds a License No. GH1033 (NJ). The current practice location address for Center For Family Support, New Jersey, INC. is 694 E Passaic Ave, Bloomfield, NJ 07003-4429 and can be reached out via phone at 973-771-9391 and via fax at 973-771-9486.
Provider Profile Details
- NPI Number
- 1467986414
- Provider Name
- Center For Family Support, New Jersey, INC.
- Provider Entity Type
- Organization
- Address
- 694 E Passaic Ave, Bloomfield, NJ 07003-4429
- Phone Number
- 973-771-9391
- Fax Number
- 973-771-9486
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Michael Mazzocco · Assistant Executive Director · 212-629-7939
- Provider Enumeration Date
- April 17, 2017
- Last Update Date
- April 17, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 694 E Passaic Ave
Bloomfield, NJ 07003-4429 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-4429
- Phone Number
- 973-771-9391
- Fax Number
- 973-771-9486
Provider Business Mailing Address Details
- Address
- 333 7TH Ave Fl 9
New York, NY 10001-5827 - City
- New York
- State
- NY
- Zip
- 10001-5827
License Information
- License Number
- GH1033
- 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 Center For Family Support, New Jersey, INC.?
The NPI number of Center For Family Support, New Jersey, INC. is 1467986414. It was assigned on April 17, 2017 and is currently active in the NPPES registry.
What is the specialty of Center For Family Support, New Jersey, INC.?
Center For Family Support, New Jersey, INC. is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X), licensed in NJ under license number GH1033.
Where does Center For Family Support, New Jersey, INC. practice?
The practice location is 694 E Passaic Ave, Bloomfield, NJ 07003-4429. The office can be reached at 973-771-9391 (phone) or 973-771-9486 (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 1467986414 directly on the NPPES registry website.