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DYNAMIC WELLNESS SOLUTIONS
NPI 1053826800
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in New Providence, NJ

Active since December 01, 2017
95 GRANT AVE, NEW PROVIDENCE, NJ 07974(973) 714-2159(908) 665-0621 Get Directions Write a Review

NPPES record last updated: December 1, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dynamic Wellness Solutions NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DYNAMIC WELLNESS SOLUTIONS (NPI 1053826800) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in New Providence, New Jersey and active in the NPI registry since December 2017. The organization lists Lucie Thibeaud Tchouassi, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1053826800
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameDYNAMIC WELLNESS SOLUTIONS
Location Address95 GRANT AVENew Providence, NJ 07974-2521
Mailing Address95 Grant AveNew Providence, NJ 07974-2521 · (973) 714-2159 · Fax (908) 665-0621
Phone(973) 714-2159
Fax(908) 665-0621
Organization SubpartNo
Authorized OfficialLucie Thibeaud TchouassiChief Operating Officer · (973) 714-2159
Enumeration DateDecember 1, 2017
✔ NPI 1053826800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
95 GRANT AVE, New Providence, NJ 07974
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dynamic Wellness Solutions's NPI number?

The NPI number for Dynamic Wellness Solutions is 1053826800. It was assigned to this organization in the NPPES registry on December 1, 2017.

Where is Dynamic Wellness Solutions located?

Dynamic Wellness Solutions is located at 95 Grant Ave, New Providence, NJ 07974. The listed phone number is (973) 714-2159.

What is Dynamic Wellness Solutions's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Dynamic Wellness Solutions was last updated on December 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.