NPIMap

Organization Active NPI

Faith Farm, Inc

  • Substance Abuse Rehabilitation Facility
  • Bridgeton, NJ
National Provider Identifier
1063729499
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1000064-10 Issued in NJ
Legal business name
FAITH FARM, INC
Practice address
21 Stretch Rd
Bridgeton, NJ 08302-9260
Phone
(856) 455-6145
Fax
(856) 453-0093
NPI assigned
Sep 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Authorized official

Name
Ms. Sonita Johnson
Title
Executive Director
Phone
(856) 455-6145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1000064-10 NJ Primary

Addresses

Primary practice location

21 Stretch Rd
Bridgeton, NJ 08302-9260

Mailing address

21 Stretch Rd
Bridgeton, NJ 08302-9260
Phone (856) 455-6145

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1063729499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 STRETCH RD",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083029260",
            "telephone_number": "856-455-6145",
            "fax_number": "856-453-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 STRETCH RD",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083029260",
            "telephone_number": "856-455-6145",
            "fax_number": "856-453-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH FARM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SONITA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-455-6145",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NJ",
            "license": "1000064-10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.