1902224561 NPI number — UNION ASSOCIATION OF THE CHILDREN'S HOME OF BURLINGTON COUNTY, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902224561 NPI number — UNION ASSOCIATION OF THE CHILDREN'S HOME OF BURLINGTON COUNTY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNION ASSOCIATION OF THE CHILDREN'S HOME OF BURLINGTON COUNTY, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902224561
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/02/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1289 ROUTE 38
Provider Second Line Business Mailing Address:
SUITE #203
Provider Business Mailing Address City Name:
HAINESPORT
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08036-2730
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-267-5656
Provider Business Mailing Address Fax Number:
609-265-1895

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1218 DELSEA DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRANKLINVILLE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08322-2306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-267-5656
Provider Business Practice Location Address Fax Number:
609-265-1895
Provider Enumeration Date:
04/01/2014

Additional Information

Authorized Official

Authorized Official Last Name:
GARRISON
Authorized Official First Name:
BETTY
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
609-267-5656

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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