1164882783 NPI number — FIRST CHILDREN LEARNING SERVICES

Table of content: (NPI 1164882783)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164882783 NPI number — FIRST CHILDREN LEARNING SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FIRST CHILDREN LEARNING SERVICES
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:
BEHAVIORAL HEALTH TREATMENT ASSOCIATES
Provider Other Organization Name Type Code:
3
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:
1164882783
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/24/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1256 MARLKRESS RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHERRY HILL
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08003
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-232-7325
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1256 MARLKRESS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHERRY HILL
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08003-2626
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-232-7325
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/24/2016

Additional Information

Authorized Official

Authorized Official Last Name:
HESS
Authorized Official First Name:
MATTHEW
Authorized Official Middle Name:
Authorized Official Title or Position:
COO
Authorized Official Telephone Number:
215-206-8309

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 1174803126 . This is a "NPI, CMS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0433136 . This is a "NEW JERSEY MEDICAID" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1194008052 . This is a "NPI, CMS FOR SUBSIDIARY COMPANY, REGIONAL ENRICHMENT AND LEARNING CENTERS, LLC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1124307178 . This is a "NPI, CMS FOR DIRECTOR OF BEHAVIORAL SERVICES" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com