Organization Active NPI

Mica Gentleheart Adult Care

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Iselin, NJ
National Provider Identifier
1003729328
Registry record updated Oct 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
MICA GENTLEHEART ADULT CARE
Practice address
1404 Oak Tree Rd Ste 4301
Iselin, NJ 08830-1656
Phone
(786) 271-0898
NPI assigned
Sep 26, 2026
Last updated
Oct 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Datude Diorne Exantus
Title
Ceo/Owner
Phone
(786) 271-0898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

1404 Oak Tree Rd Ste 4301
Iselin, NJ 08830-1656

Mailing address

1404 Oak Tree Rd
Iselin, NJ 08830-1656
Phone (786) 271-0898

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791072000000",
    "number": "1003729328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 OAK TREE RD",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088301656",
            "telephone_number": "786-271-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 OAK TREE RD STE 4301",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088301656",
            "telephone_number": "786-271-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICA GENTLEHEART ADULT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-26",
        "last_updated": "2026-10-04",
        "certification_date": "2026-10-04",
        "status": "A",
        "authorized_official_last_name": "EXANTUS",
        "authorized_official_first_name": "DATUDE",
        "authorized_official_middle_name": "DIORNE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "786-271-0898",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iselin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.