NPIMap

Organization Active NPI

Comprehensive Behavioral Healthcare, Inc.

  • Home Health Agency
  • Hackensack, NJ
National Provider Identifier
1134638794
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC.
Practice address
25 E Salem St
Hackensack, NJ 07601-7427
Phone
(201) 646-0333
Fax
(201) 296-6319
NPI assigned
Sep 27, 2017
Organization subpart
Yes
Parent organization
COMPREHENSIVE BEHAVIORAL HEALTHCARE,INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

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

Authorized official

Name
Dana Jaworski
Title
Billing Supervisor
Phone
(201) 935-3322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

25 E Salem St
Hackensack, NJ 07601-7427

Mailing address

516 Valley Brook Ave
Lyndhurst, NJ 07071-1930
Phone (201) 935-3322

Other identifiers 1

IdentifierTypeStateIssuer
0019992MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
CBH13 organizations share this tax ID, including this one
Part of
CBH

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506470400000",
    "number": "1134638794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 VALLEY BROOK AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711930",
            "telephone_number": "201-935-3322",
            "fax_number": "201-296-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E SALEM ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017427",
            "telephone_number": "201-646-0333",
            "fax_number": "201-296-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE BEHAVIORAL HEALTHCARE,INC.",
        "enumeration_date": "2017-09-27",
        "last_updated": "2017-09-27",
        "status": "A",
        "authorized_official_last_name": "JAWORSKI",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "201-935-3322"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019992",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; 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.