Luke'S Place, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

LUKE'S PLACE, INC.

Practice address

323 E Atlantic Ave
Audubon, NJ 08106-1501

Phone

(856) 287-1838

Fax

(856) 546-7136

NPI assigned

Mar 13, 2018

Organization subpart

No

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

Authorized official

Name

William C. Jensen

Title

President

Phone

(856) 287-5855

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1043713407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 W KINGS HWY",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081062207",
            "telephone_number": "856-287-1838",
            "fax_number": "856-546-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E ATLANTIC AVE",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081061501",
            "telephone_number": "856-287-1838",
            "fax_number": "856-546-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUKE'S PLACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-287-5855"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Laraio, RD
• Simone Allegra Lavine, LPC
• Amanda Leone, LSW
• Maria Livecchi
• Francis Lopes, M.D.
• Caitlin Macallister
• Nancy T Macgregor, MA, ATR-BC, LPC
• Sandra L Mayer, RN
• MDF Audubon LLC
• Angela Catherine Meluso, PH.D., BCBA-D

• Developmentally Disabled Services Day Training Agency in Audubon, NJ
• Providers in Audubon, NJ by specialty
• Developmentally Disabled Services Day Training Agency in New Jersey

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