EIHAB HUMAN SERVICES NEW JERSEY, INC.
Complete NPI Record 1528441102
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Old Bridge, NJ
NPI Status: Active since July 01, 2015
- NPI
- Entity Type Code
- Employer Identification Number EIN
- Provider Organization Name Legal Business Name
- Provider First Line Business Mailing Address
- Provider Business Mailing Address City Name
- Provider Business Mailing Address State Name
- Provider Business Mailing Address Postal Code
- Provider Business Mailing Address Country Code If outside U S
- Provider First Line Business Practice Location Address
- Provider Business Practice Location Address City Name
- Provider Business Practice Location Address State Name
- Provider Business Practice Location Address Postal Code
- Provider Business Practice Location Address Country Code If outside U S
- Provider Business Practice Location Address Telephone Number
- Provider Enumeration Date
- Last Update Date
- Authorized Official Last Name
- Authorized Official First Name
- Authorized Official Title or Position
- Authorized Official Telephone Number
- Healthcare Provider Taxonomy Code 1
- Healthcare Provider Primary Taxonomy Switch 1
- Healthcare Provider Taxonomy Code 2
- Healthcare Provider Primary Taxonomy Switch 2
- Healthcare Provider Taxonomy Code 3
- Healthcare Provider Primary Taxonomy Switch 3
- Healthcare Provider Taxonomy Code 4
- Healthcare Provider Primary Taxonomy Switch 4
- Healthcare Provider Taxonomy Code 5
- Healthcare Provider Primary Taxonomy Switch 5
- Healthcare Provider Taxonomy Code 6
- Healthcare Provider Primary Taxonomy Switch 6
- Healthcare Provider Taxonomy Code 7
- Healthcare Provider Primary Taxonomy Switch 7
- Healthcare Provider Taxonomy Code 8
- Healthcare Provider Primary Taxonomy Switch 8
- Healthcare Provider Taxonomy Code 9
- Healthcare Provider Primary Taxonomy Switch 9
- Healthcare Provider Taxonomy Code 10
- Healthcare Provider Primary Taxonomy Switch 10
- Healthcare Provider Taxonomy Code 11
- Healthcare Provider Primary Taxonomy Switch 11
- Healthcare Provider Taxonomy Code 12
- Healthcare Provider Primary Taxonomy Switch 12
- Healthcare Provider Taxonomy Code 13
- Healthcare Provider Primary Taxonomy Switch 13
- Healthcare Provider Taxonomy Code 14
- Healthcare Provider Primary Taxonomy Switch 14
- Is Organization Subpart
- Authorized Official Name Prefix Text
Complete NPI Dataset
This page represents the complete record for NPI 1528441102. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.
- NPI: 1528441102
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: UNAVAIL
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: EIHAB HUMAN SERVICES NEW JERSEY, INC.
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: 16818 S CONDUIT AVE
- The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
- Provider Business Mailing Address City Name: JAMAICA
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: NY
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
- Provider Business Mailing Address Postal Code: 114344806
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
- Provider Business Mailing Address Country Code If outside U S : US
- The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
- Provider First Line Business Practice Location Address: 18 D GLENWOOD DR
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: OLD BRIDGE
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: NJ
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 088576741
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 7182766101
- The telephone number associated with the location address of the provider being identified.
- Provider Enumeration Date: 7/1/2015
- The date the provider was assigned a unique identifier (assigned an NPI).
- Last Update Date: 7/1/2015
- The date that a record was last updated or changed.
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- The first name of the authorized official.
- The title or position of the authorized official.
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 251B00000X
- Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: N
- Healthcare Provider Taxonomy Code 2: 251C00000X
- Healthcare Provider Primary Taxonomy Switch 2: N
- Healthcare Provider Taxonomy Code 3: 251S00000X
- Healthcare Provider Primary Taxonomy Switch 3: N
- Healthcare Provider Taxonomy Code 4: 253Z00000X
- Healthcare Provider Primary Taxonomy Switch 4: N
- Healthcare Provider Taxonomy Code 5: 261QD1600X
- Healthcare Provider Primary Taxonomy Switch 5: N
- Healthcare Provider Taxonomy Code 6: 261QM0801X
- Healthcare Provider Primary Taxonomy Switch 6: N
- Healthcare Provider Taxonomy Code 7: 315P00000X
- Healthcare Provider Primary Taxonomy Switch 7: N
- Healthcare Provider Taxonomy Code 8: 320700000X
- Healthcare Provider Primary Taxonomy Switch 8: N
- Healthcare Provider Taxonomy Code 9: 320800000X
- Healthcare Provider Primary Taxonomy Switch 9: N
- Healthcare Provider Taxonomy Code 10: 320900000X
- Healthcare Provider Primary Taxonomy Switch 10: N
- Healthcare Provider Taxonomy Code 11: 324500000X
- Healthcare Provider Primary Taxonomy Switch 11: N
- Healthcare Provider Taxonomy Code 12: 385H00000X
- Healthcare Provider Primary Taxonomy Switch 12: N
- Healthcare Provider Taxonomy Code 13: 385HR2060X
- Healthcare Provider Primary Taxonomy Switch 13: N
- Healthcare Provider Taxonomy Code 14: 320600000X
- Healthcare Provider Primary Taxonomy Switch 14: Y
- Is Organization Subpart: N
