PROVIDENCE SUPPORT SERVICES
NPI 1225841968
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bordentown, NJ

Q: What is Providence Support Services's NPI number?

The NPI number for Providence Support Services is 1225841968. It was assigned to this organization in the NPPES registry on January 28, 2025.

Q: What is Providence Support Services's specialty?

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

Active since January 28, 2025

3 RIDGEWOOD DR, BORDENTOWN, NJ 08505(732) 322-3924(267) 841-7275 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Providence Support Services NPPES

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

PROVIDENCE SUPPORT SERVICES (NPI 1225841968) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Bordentown, New Jersey and active in the NPI registry since January 2025. The organization lists Henry O Adebayo, President, as its authorized official.

NPPES Registry Identity

NPI1225841968

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NamePROVIDENCE SUPPORT SERVICES

Location Address3 RIDGEWOOD DRBordentown, NJ 08505-4737

Mailing Address3 Ridgewood DrBordentown, NJ 08505-4737 · (732) 322-3924 · Fax (267) 841-7275

Phone(732) 322-3924

Fax(267) 841-7275

Organization SubpartNo

Authorized OfficialHenry O AdebayoPresident · (732) 322-3924

Enumeration DateJanuary 28, 2025

NPPES CertifiedJanuary 28, 2025

✔ NPI 1225841968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.

Also ListedHome HealthTaxonomy 251E00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

3 RIDGEWOOD DR, Bordentown, NJ 08505

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENRY ADEBAYO

Case Manager/Care Coordinator

3 RIDGEWOOD DR
BORDENTOWN, NJ 08505

Burlington County (732) 322-3924

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 Providence Support Services's NPI number?

The NPI number for Providence Support Services is 1225841968. It was assigned to this organization in the NPPES registry on January 28, 2025.

Where is Providence Support Services located?

Providence Support Services is located at 3 Ridgewood Dr, Bordentown, NJ 08505. The listed phone number is (732) 322-3924.

What is Providence Support Services'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 Providence Support Services was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.