NPIMap

Organization Active NPI

Sidekicks Respite Care LLC

  • Community/Behavioral Health Agency
  • Hamilton, NJ
National Provider Identifier
1043686066
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1118243 Issued in NJ
Legal business name
SIDEKICKS RESPITE CARE LLC
Practice address
6 Baggaley Rd
Hamilton, NJ 08690-1814
Phone
(609) 500-6686
NPI assigned
Aug 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Authorized official

Name
Niko Antonellos
Title
Executive Director
Phone
(609) 500-6686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1118243 NJ Primary

Addresses

Primary practice location

6 Baggaley Rd
Hamilton, NJ 08690-1814

Mailing address

PO Box 9679
Trenton, NJ 08650-1679
Phone (609) 500-6686

National Provider Directory

National Provider Directory
Tax ID family
Sidekicks Respite Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1043686066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9679",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086501679",
            "telephone_number": "609-500-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BAGGALEY RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086901814",
            "telephone_number": "609-500-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDEKICKS RESPITE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "ANTONELLOS",
        "authorized_official_first_name": "NIKO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-500-6686"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "1118243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.