Organization Active NPI

Lotus Spring LLC

  • Community/Behavioral Health Agency
  • Hackensack, NJ
National Provider Identifier
1013419704
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
44SC Issued in NJ
Legal business name
LOTUS SPRING LLC
Practice address
307 Prospect Ave Apt 14E
Hackensack, NJ 07601-2555
Phone
(201) 525-1625
NPI assigned
Mar 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Authorized official

Name
Maryann Hom, LCSWNPI 1447759048
Title
Clinical Social Worker
Phone
(201) 525-1625

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 44SC NJ Primary

Addresses

Primary practice location

307 Prospect Ave Apt 14E
Hackensack, NJ 07601-2555

Mailing address

307 Prospect Ave Apt 14E
Hackensack, NJ 07601-2555
Phone (201) 525-1625

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1013419704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 PROSPECT AVE APT 14E",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012555",
            "telephone_number": "201-525-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 PROSPECT AVE APT 14E",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012555",
            "telephone_number": "201-525-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS SPRING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "HOM",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "201-525-1625",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.