Special Homes of New Jersey
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Hackettstown, NJ
NPI 1154871663 · NPPES record last updated Oct 7, 2016
Key facts
- NPI
- 1154871663
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- Legal business name
- SPECIAL HOMES OF NEW JERSEY
- Practice address
- 257 Mission Rd
Hackettstown, NJ 07840-5641 - Phone
- (973) 886-1953
- Fax
- (973) 664-1795
- NPI assigned
- Oct 7, 2016
- Organization subpart
- No
Authorized official
- Name
- Terrence McKeon, M.ED
- Title
- Executive Director
- Phone
- (973) 886-1953
Corporate family (same tax ID) 32
National Provider Directory
- Tax ID family
- Special Homes of New Jersey Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Yes |
Addresses
Primary practice location
257 Mission Rd
Hackettstown, NJ 07840-5641
Mailing address
257 Mission Rd
Hackettstown, NJ 07840-5641
Phone (973) 886-1953
NPI Registry JSON
{
"created_epoch": "1475798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475798400000",
"number": "1154871663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "257 MISSION RD",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078405641",
"telephone_number": "973-886-1953",
"fax_number": "973-664-1795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "257 MISSION RD",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078405641",
"telephone_number": "973-886-1953",
"fax_number": "973-664-1795"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIAL HOMES OF NEW JERSEY",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-07",
"last_updated": "2016-10-07",
"status": "A",
"authorized_official_last_name": "MCKEON",
"authorized_official_first_name": "TERRENCE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "973-886-1953",
"authorized_official_credential": "M.ED"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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All providers in Hackettstown, NJ · Intellectual and/or Developmental Disabilities Residential Treatment Facility in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.