Organization Active NPI

Life of Purpose NJ, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cherry Hill, NJ
National Provider Identifier
1134636582
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
LIFE OF PURPOSE NJ, LLC
Practice address
2 Executive Campus 2370 NJ-70
Cherry Hill, NJ 08002-4102
Phone
(856) 452-3620
NPI assigned
Jan 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Authorized official

Name
Andrew Maggiore
Title
Authorized Official
Phone
(856) 452-3620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

2 Executive Campus 2370 NJ-70
Cherry Hill, NJ 08002-4102

Mailing address

PO Box 458
Collingswood, NJ 08108-0458

National Provider Directory

National Provider Directory

Locations

2 Executive Campus
#2370
Cherry Hill, NJ 08002
Phone (856) 452-3620

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1134636582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081080458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE CAMPUS 2370 NJ-70",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080024102",
            "telephone_number": "856-452-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE OF PURPOSE NJ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "MAGGIORE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "856-452-3620"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.