Family Choice Community Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FAMILY CHOICE COMMUNITY SERVICES LLC

Practice address

102 Ruby Dr
Egg Harbor TWP, NJ 08234-5928

Phone

(917) 373-5332

NPI assigned

Aug 28, 2020

Organization subpart

No

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

Authorized official

Name

Lauren L Lamin, BS

Title

Co-Founder

Phone

(917) 373-5332

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601164800000",
    "number": "1164035077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 RUBY DR",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082345928",
            "telephone_number": "917-373-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 RUBY DR",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082345928",
            "telephone_number": "917-373-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHOICE COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-09-27",
        "certification_date": "2020-09-27",
        "status": "A",
        "authorized_official_last_name": "LAMIN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "917-373-5332",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450529055",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "familychoicecs@outlook.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "102 Ruby Dr",
            "city": "Egg Harbor Twp",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082345928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "familychoicecs@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "102 Ruby Dr",
            "city": "Egg Harbor Twp",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082345928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Philip Anthony Dibartolo, D.C.
• Mikhail Domantovskiy, PHARM D
• Melissa Durkin, COTA
• Catherine A Dziegrenuk, RBT
• Emerging Transitions
• Family Service Association
• David Samuel Fascia II, PHARMD
• Lisa Fiorentino
• Louis John Fornasier, O.D.
• Lisa Franklin, LCSW

• In Home Supportive Care Agency in Egg Harbor TWP, NJ
• Providers in Egg Harbor TWP, NJ by specialty
• In Home Supportive Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2020; 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.