Organization Active NPI

Bernice Group Homes LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Phillipsburg, NJ
National Provider Identifier
1124892450
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
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

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Mrs. Ajiro Osunsanya, DONPI 1245002294
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)CodeLicenseStatePrimary
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 Doing business as
  • Bernice Group Homes LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.