NPIMap

Organization Active NPI

Senior Star Corp. Day Hab

  • Developmentally Disabled Services Day Training Agency
  • Ewing, NJ
National Provider Identifier
1033590070
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SENIOR STAR CORP. DAY HAB
Practice address
1676 N Olden Ave
Ewing, NJ 08638-3209
Phone
(609) 434-0041
Fax
(609) 434-0043
NPI assigned
Jun 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Authorized official

Name
Mrs. Julia Kipnis
Title
President
Phone
(609) 434-0041

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

1676 N Olden Ave
Ewing, NJ 08638-3209

Mailing address

1676 N Olden Ave
Ewing, NJ 08638-3209
Phone (609) 434-0041

Other identifiers 1

IdentifierTypeStateIssuer
9123300MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Senior Star Corp Day Hab3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1033590070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1676 N OLDEN AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086383209",
            "telephone_number": "609-434-0041",
            "fax_number": "609-434-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 N OLDEN AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086383209",
            "telephone_number": "609-434-0041",
            "fax_number": "609-434-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR STAR CORP. DAY HAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "KIPNIS",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-434-0041",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9123300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.