Active NPI
Life of Purpose NJ, LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Cherry Hill, NJ
National Provider Identifier
1134636582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.