Active NPI
Bernice Group Homes LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Phillipsburg, NJ
National Provider Identifier
1124892450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- BERNICE GROUP HOMES LLC
- Practice address
- 317 Irwin St
Phillipsburg, NJ 08865-2548 - Phone
- (973) 755-8404
- NPI assigned
- Nov 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ajiro Osunsanya, DO
- Title
- Co-Owner
- Phone
- (973) 755-8404
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
317 Irwin St
Phillipsburg, NJ 08865-2548
Mailing address
317 Irwin St
Phillipsburg, NJ 08865-2548
Phone (973) 755-8404
Other names 2
- Bernice Group Homes
- Bernice Group Homes LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse's Aide
- Phillipsburg, NJ
- NPI 1245002294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699315200000",
"number": "1124892450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 IRWIN ST",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "088652548",
"telephone_number": "973-755-8404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 IRWIN ST",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "088652548",
"telephone_number": "973-755-8404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERNICE GROUP HOMES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-07",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A",
"authorized_official_last_name": "OSUNSANYA",
"authorized_official_first_name": "AJIRO",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "973-755-8404",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bernice Group Homes",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bernice Group Homes LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phillipsburg, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.