La Gomera LLC
Residential Treatment Facility, Emotionally Disturbed Children in Eatontown, New Jersey
1497495840- Practice location
- 3 Corbett Way, Eatontown, NJ 07724-2283
- Phone
- 657-304-0103
- Fax
- —
- Last updated
- March 31, 2022
La Gomera LLC is a healthcare organization based in Eatontown, NJ. La Gomera LLC practices in Eatontown, NJ. The NPI Number for La Gomera LLC is 1497495840. The current practice location address for La Gomera LLC is 3 Corbett Way, Eatontown, NJ 07724-2283 and can be reached out via phone at 657-304-0103.
Provider Profile Details
- NPI Number
- 1497495840
- Provider Name
- La Gomera LLC
- Provider Entity Type
- Organization
- Address
- 3 Corbett Way, Eatontown, NJ 07724-2283
- Phone Number
- 657-304-0103
- Primary Taxonomy
- Residential Treatment Facility, Emotionally Disturbed Children · 322D00000X
- Organization Subpart
- No
- Authorized Official
- Catherine Bucheger · Billing Director · 262-490-7933
- Other Names
- Zinnia Children And Family (Doing Business As)
- Provider Enumeration Date
- March 31, 2022
- Last Update Date
- March 31, 2022
- Certification Date
- March 31, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3 Corbett Way
Eatontown, NJ 07724-2283 - City
- Eatontown
- State
- New Jersey
- Zip
- 07724-2283
- Phone Number
- 657-304-0103
Provider Business Mailing Address Details
- Address
- 3 Corbett Way
Eatontown, NJ 07724-2283 - City
- Eatontown
- State
- NJ
- Zip
- 07724-2283
License Information
- Taxonomy (1)
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320600000X
- Taxonomy (2)
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Taxonomy (3)
- Psychiatric Residential Treatment Facility · 323P00000X
- Taxonomy (4)
- Residential Treatment Facility, Emotionally Disturbed Children · 322D00000X · 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 La Gomera LLC?
The NPI number of La Gomera LLC is 1497495840. It was assigned on March 31, 2022 and is currently active in the NPPES registry.
What is the specialty of La Gomera LLC?
La Gomera LLC is registered under the primary taxonomy Residential Treatment Facility, Emotionally Disturbed Children (code 322D00000X).
Where does La Gomera LLC practice?
The practice location is 3 Corbett Way, Eatontown, NJ 07724-2283. The office can be reached at 657-304-0103 (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 1497495840 directly on the NPPES registry website.