1. Home
  2. Directory
  3. New Jersey
  4. Sicklerville
  5. Community Based Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

EBONY ISLAND SHELTER COMPANY
NPI 1437462504
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Sicklerville, NJ

Active since July 19, 2010
127 EASTMONT LN, SICKLERVILLE, NJ 08081(856) 262-7396(856) 262-8691 Get Directions Write a Review

NPPES record last updated: July 19, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ebony Island Shelter Company NPPES

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

EBONY ISLAND SHELTER COMPANY (NPI 1437462504) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Sicklerville, New Jersey and active in the NPI registry since July 2010. The organization lists John Hagans, President, as its authorized official.

NPPES Registry Identity

NPI1437462504
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameEBONY ISLAND SHELTER COMPANY
Location Address127 EASTMONT LNSicklerville, NJ 08081-1913
Mailing Address127 Eastmont LnSicklerville, NJ 08081-1913 · (856) 262-7396 · Fax (856) 262-8691
Phone(856) 262-7396
Fax(856) 262-8691
Organization SubpartNo
Authorized OfficialJohn HagansPresident · (856) 262-7396
Enumeration DateJuly 19, 2010
✔ NPI 1437462504 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
License✔ Licensed in NJ · V58475691600
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
127 EASTMONT LN, Sicklerville, NJ 08081
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

NATIONAL MENTOR HEALTHCARE, LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
127 EASTMONT LN
SICKLERVILLE, NJ 08081
Camden County (732) 627-9890

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 Ebony Island Shelter Company's NPI number?

The NPI number for Ebony Island Shelter Company is 1437462504. It was assigned to this organization in the NPPES registry on July 19, 2010.

Where is Ebony Island Shelter Company located?

Ebony Island Shelter Company is located at 127 Eastmont Ln, Sicklerville, NJ 08081. The listed phone number is (856) 262-7396.

What is Ebony Island Shelter Company'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 Ebony Island Shelter Company was last updated on July 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.