NPIMap

Organization Active NPI

Jenkins Outreach for Youth, Inc.

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Union, NJ
National Provider Identifier
1154871705
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
JENKINS OUTREACH FOR YOUTH, INC.
Practice address
1407 Elaine Ter
Union, NJ 07083-4712
Phone
(973) 698-4172
NPI assigned
Oct 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Authorized official

Name
Ms. Latesha Jenkins, MS LSW
Title
Executive Director
Phone
(973) 698-4172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary

Addresses

Primary practice location

1407 Elaine Ter
Union, NJ 07083-4712

Mailing address

1407 Elaine Ter
Union, NJ 07083-4712
Phone (973) 698-4172

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1154871705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 ELAINE TER",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834712",
            "telephone_number": "973-698-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 ELAINE TER",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834712",
            "telephone_number": "973-698-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENKINS OUTREACH FOR YOUTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "LATESHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-698-4172",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS LSW"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.