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MY FATHER'S HOUSE, INC
NPI 1700088226
Clinic/Center - Rehabilitation in Gloucester City, NJ

Active since June 05, 2007
104 N KING ST, GLOUCESTER CITY, NJ 08030(856) 742-0900(856) 742-0811 Get Directions Write a Review

NPPES record last updated: August 1, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About My Father's House, Inc NPPES

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

MY FATHER'S HOUSE, INC (NPI 1700088226) is a healthcare organization registered as a rehabilitation in Gloucester City, New Jersey and active in the NPI registry since June 2007. The organization lists Miriam Broderick, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700088226
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameMY FATHER'S HOUSE, INC
Location Address104 N KING STGloucester City, NJ 08030-1417
Mailing AddressPo Box 230Gloucester City, NJ 08030-0230 · (856) 742-0900 · Fax (856) 742-0811
Phone(856) 742-0900
Fax(856) 742-0811
Organization SubpartNo
Authorized OfficialMiriam BroderickCeo · (856) 742-0900
Enumeration DateJune 5, 2007
Last NPPES UpdateAugust 1, 2016
✔ NPI 1700088226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
104 N KING ST, Gloucester City, NJ 08030
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Other Identifiers 1

Medicaid7601905NJ

Other Providers at the Same Location NPPES 3

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

KAREN JANE KIRBY LCSW,LCADC
Social Worker (Clinical)
104 N KING ST
GLOUCESTER CITY, NJ 08030
Camden County (856) 742-0900
MRS. JESSICA MARIE ZIELINSKI LCADC
Counselor (Addiction (Substance Use Disorder))
104 N KING ST, PO BOX 230
GLOUCESTER CITY, NJ 08030
Camden County (856) 742-0900
CHASTITI FITZGERALD MS, LCADC, LAC
Counselor (Addiction (Substance Use Disorder))
104 N KING ST
GLOUCESTER CITY, NJ 08030
Camden County (856) 742-0900

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 My Father's House, Inc's NPI number?

The NPI number for My Father's House, Inc is 1700088226. It was assigned to this organization in the NPPES registry on June 5, 2007.

Where is My Father's House, Inc located?

My Father's House, Inc is located at 104 N King St, Gloucester City, NJ 08030. The listed phone number is (856) 742-0900.

What is My Father's House, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for My Father's House, Inc was last updated on August 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.