Organization Active NPI

Allies, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Red Bank, NJ
National Provider Identifier
1023524667
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
SA2524 Issued in NJ
Legal business name
ALLIES, INC.
Practice address
76-78 Oakland Street
Apt 101
Red Bank, NJ 07701-1104
Phone
(609) 689-0136
Fax
(609) 581-4891
NPI assigned
Dec 19, 2017
Last updated
Mar 1, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
WOODS RESOURCES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Authorized official

Name
Viacheslav Sergeenko, BS
Title
Controller
Phone
(609) 689-0136

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X SA2524 NJ Primary
In Home Supportive Care Agency 253Z00000X SA2524 NJ

Addresses

Primary practice location

76-78 Oakland Street
Apt 101
Red Bank, NJ 07701-1104

Mailing address

1262 Whitehorse Hamilton Square Rd Ste 101
Hamilton, NJ 08690-3711
Phone (609) 689-0136

Other identifiers 2

IdentifierTypeStateIssuer
0462314MedicaidNJ
SA2524OtherNJNJ DHS DDD

National Provider Directory

National Provider Directory
Tax ID family
Allies Inc187 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1023524667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 WHITEHORSE HAMILTON SQUARE RD STE 101",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903711",
            "telephone_number": "609-689-0136",
            "fax_number": "609-581-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76-78 OAKLAND STREET",
            "address_2": "APT 101",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011104",
            "telephone_number": "609-689-0136",
            "fax_number": "609-581-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOODS RESOURCES, INC.",
        "enumeration_date": "2017-12-19",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "SERGEENKO",
        "authorized_official_first_name": "VIACHESLAV",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "609-689-0136",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "SA2524",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NJ",
            "license": "SA2524",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0462314",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ DHS DDD",
            "identifier": "SA2524",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.