NPIMap

Organization Active NPI

Assoc. for Retarded Citizens, Inc. Gloucester County

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Mantue, NJ
National Provider Identifier
1164933495
Registry record updated Oct 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
ASSOC. FOR RETARDED CITIZENS, INC. GLOUCESTER COUNTY
Practice address
K185 Heather Drive South
Mantue, NJ 08051
Phone
(856) 468-3369
Fax
(856) 468-4731
NPI assigned
Oct 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2017

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

Authorized official

Name
Ms. Ana Rivera
Title
Executive Director
Phone
(856) 848-8648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

K185 Heather Drive South
Mantue, NJ 08051

Mailing address

1555 Gateway Boulevard
West Deptford, NJ 08096
Phone (856) 848-8648

Other names 1

  • The Arc Gloucester Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Assoc for Retarded Citizens Inc Gloucester County39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507852800000",
    "number": "1164933495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 GATEWAY BOULEVARD",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "08096",
            "telephone_number": "856-848-8648",
            "fax_number": "856-848-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "K185 HEATHER DRIVE SOUTH",
            "city": "MANTUE",
            "state": "NJ",
            "postal_code": "08051",
            "telephone_number": "856-468-3369",
            "fax_number": "856-468-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOC. FOR RETARDED CITIZENS, INC. GLOUCESTER COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-13",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-848-8648",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Arc Gloucester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.