NPIMap

Organization Active NPI

Ranch Hope Omega

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Alloway, NJ
National Provider Identifier
1063532273
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
37400000X Issued in NJ
Legal business name
RANCH HOPE OMEGA
Practice address
45 Sawmill Road
Alloway, NJ 08001-0325
Phone
(856) 935-1555
Fax
(856) 935-5189
NPI assigned
Mar 30, 2007
Last updated
Feb 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Augustus P Dibble
Title
Cfo
Phone
(856) 935-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 37400000X NJ Primary

Addresses

Primary practice location

45 Sawmill Road
Alloway, NJ 08001-0325

Mailing address

PO Box 325
Alloway, NJ 08001-0325
Phone (856) 935-1555

Other identifiers 1

IdentifierTypeStateIssuer
0216135OtherNJMEDICARE ID-TYPE UNSPECIFIED

National Provider Directory

National Provider Directory
Tax ID family
Ranch Hope Omega8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1063532273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "city": "ALLOWAY",
            "state": "NJ",
            "postal_code": "080010325",
            "telephone_number": "856-935-1555",
            "fax_number": "856-935-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SAWMILL ROAD",
            "city": "ALLOWAY",
            "state": "NJ",
            "postal_code": "080010325",
            "telephone_number": "856-935-1555",
            "fax_number": "856-935-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCH HOPE OMEGA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "DIBBLE",
        "authorized_official_first_name": "AUGUSTUS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "856-935-1555"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "37400000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "0216135",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.