Active NPI
Mica Gentleheart Adult Care
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Iselin, NJ
National Provider Identifier
1003729328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.