Seabrook House, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SEABROOK HOUSE, INC.

Doing business as

Seabrook

Practice address

223 Polk LN
Bridgeton, NJ 08302-5904

Phone

(856) 455-7575

NPI assigned

Apr 24, 2020

Last updated

Apr 24, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

SEABROOK HOUSE, INC.As reported in NPPES

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

Authorized official

Name

Mrs. Crystal Rebecca Smith

Title

Quality Manager

Phone

(856) 455-7575

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Seabrook Doing business as

Tax ID family

Seabrook House Inc5 organizations share this tax ID, including this one

Part of

Seabrook House Inc

Other organizations with this tax ID 4

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

• Seabrook House, Inc.

  dba Seabrook

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Shrewsbury, NJ
  • NPI 1336769918
  NPD tax ID
• Seabrook House, Inc.

  dba Seabrook

  • Substance Abuse Rehabilitation Facility
  • Seabrook, NJ
  • NPI 1427110774
  NPD tax ID
• Seabrook House, Inc.

  dba Seabrook

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cherry Hill, NJ
  • NPI 1760002331
  NPD tax ID
• Seabrook House, Inc.

  dba Seabrook

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Morristown, NJ
  • NPI 1922628502
  NPD tax ID

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1184244691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 POLK LN",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083025905",
            "telephone_number": "856-455-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 POLK LN",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083025904",
            "telephone_number": "856-455-7575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Polk Ln",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "NJ",
            "postal_code": "083025905",
            "country_code": "US",
            "telephone_number": "856-455-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEABROOK HOUSE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEABROOK HOUSE, INC.",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "QUALITY MANAGER",
        "authorized_official_telephone_number": "856-455-7575",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0697541",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seabrook",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seabrook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wesley S Sanderlin, BS, RPH
• Jeffrey Paul Schirf, ATC
• David Herschel Schwed, RPH
• Scott a Fishman DPM, PA
• Samantha Scurti
• Senior Care Centers of America, Inc. (Active Day of Bridgeton)
• Services to Overcome Drug Abuse Among Teenagers, Inc. (SODAT of NJ, Inc)
• Services to Overcome Drug Abuse Among Teenagers, Inc. (SODAT of NJ, Inc)
• Niranjana J Shah, M.D.
• Terry Xiaozhou Shang, M.D.

• Substance Abuse Rehabilitation Facility in Bridgeton, NJ
• Providers in Bridgeton, NJ by specialty
• Substance Abuse Rehabilitation Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.