Jamesburg Manor LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

JAMESBURG MANOR LLC

Practice address

5 N State Home Rd
Monroe, NJ 08831-2940

Phone

(732) 521-1747

Fax

(732) 521-0603

NPI assigned

Mar 6, 2019

Last updated

Mar 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Arlene Isidro

Title

Ceo

Phone

(908) 623-3026

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1114485489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 N STATE HOME RD",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088312940",
            "telephone_number": "732-521-1747",
            "fax_number": "732-521-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N STATE HOME RD",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088312940",
            "telephone_number": "732-521-1747",
            "fax_number": "732-521-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMESBURG MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "ISIDRO",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-623-3026"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Monroe, NJ
• Providers in Monroe, NJ by specialty
• Mental Illness Community Based Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.