CENTER FOR HUMANISTIC CHANGE OF NJ, INC.
NPI 1225563695
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Passaic, NJ

Active since April 24, 2017
42 VAN HOUTEN AVE, PASSAIC, NJ 07055(973) 473-8450 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 9, 2020, Apr 24, 2017 (2 updates tracked since 2017).

About Center For Humanistic Change Of Nj, Inc. NPPES

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

CENTER FOR HUMANISTIC CHANGE OF NJ, INC. (NPI 1225563695) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Passaic, New Jersey and active in the NPI registry since April 2017. The organization lists Paul Steven Kucinski, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1225563695
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCENTER FOR HUMANISTIC CHANGE OF NJ, INC.
Location Address42 VAN HOUTEN AVEPassaic, NJ 07055-5512
Mailing Address12 Us Highway 206Stanhope, NJ 07874-3269 · (973) 691-3488
Organization SubpartNo
Authorized OfficialPaul Steven KucinskiExecutive Director · (973) 691-3488
Enumeration DateApril 24, 2017
Last NPPES UpdateNovember 9, 20202 updates tracked since enumeration
NPPES CertifiedNovember 9, 2020
NPI 1225563695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License Licensed in NJ · GH169
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

42 VAN HOUTEN AVE, Passaic, NJ 07055

Other Identifiers 1

Medicaid0553891NJ

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225563695, enumerated as an "organization" on April 24, 2017.

The provider is located at 42 VAN HOUTEN AVE PASSAIC, NJ 07055 and the phone number is (973) 473-8450.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.