NPIMap

Organization Active NPI

Personalized Independent Living Opportunities and Training Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Berlin, NJ
National Provider Identifier
1043981442
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
PERSONALIZED INDEPENDENT LIVING OPPORTUNITIES AND TRAINING SERVICES
Practice address
283 Jackson Road
Berlin, NJ 08009-0800
Phone
(856) 697-9197
NPI assigned
Sep 24, 2021
Last updated
Sep 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Authorized official

Name
Mr. Allen Samuels
Title
Executive Director
Phone
(856) 809-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

283 Jackson Road
Berlin, NJ 08009-0800

Mailing address

289 Jackson Rd
Berlin, NJ 08009-2619
Phone (856) 697-9197

National Provider Directory

National Provider Directory
Tax ID family
Personalized Independent Living Opporuntities Training Services18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1043981442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 JACKSON RD",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080092619",
            "telephone_number": "856-697-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 JACKSON ROAD",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080090800",
            "telephone_number": "856-697-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED INDEPENDENT LIVING OPPORTUNITIES AND TRAINING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-809-0600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.