NPIMap

Organization Active NPI

Rescue Mission of Trenton

  • Substance Abuse Rehabilitation Facility
  • Trenton, NJ
National Provider Identifier
1063623056
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
RESCUE MISSION OF TRENTON
Practice address
96 Carroll St
Trenton, NJ 08609-1008
Phone
(609) 396-2183
Fax
(609) 695-5199
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Barrett Young
Title
Chief Exeutive Officer
Phone
(609) 396-2183

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NJSSA2628-1 NJ
Substance Abuse Rehabilitation Facility 324500000X NJ Primary

Addresses

Primary practice location

96 Carroll St
Trenton, NJ 08609-1008

Mailing address

98 Carroll St
PO Box 790
Trenton, NJ 08609-1008
Phone (609) 396-2183

Other identifiers 1

IdentifierTypeStateIssuer
8721203MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Rescue Mission of Trenton7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1063623056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 CARROLL ST",
            "address_2": "PO BOX 790",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086091008",
            "telephone_number": "609-396-2183",
            "fax_number": "609-695-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 CARROLL ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086091008",
            "telephone_number": "609-396-2183",
            "fax_number": "609-695-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESCUE MISSION OF TRENTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "BARRETT",
        "authorized_official_title_or_position": "CHIEF EXEUTIVE OFFICER",
        "authorized_official_telephone_number": "609-396-2183"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NJ",
            "license": "NJSSA2628-1",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8721203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.