Harbor Wellness & Recovery Center

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

HARBOR WELLNESS & RECOVERY CENTER

Practice address

2139 Hwy 35 Ste 120
Holmdel, NJ 07733-1094

Phone

(607) 879-1729

NPI assigned

May 1, 2019

Last updated

Feb 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Blake Raub

Title

Ceo

Phone

(855) 698-3554

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Kirkland Blauvelt, MA, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Holmdel, NJ
  • NPI 1679998918
  NPD (past)

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1184289548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "KEANSBURG",
            "state": "NJ",
            "postal_code": "077340236",
            "telephone_number": "609-879-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 HWY 35 STE 120",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331094",
            "telephone_number": "607-879-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR WELLNESS & RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "RAUB",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-698-3554"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hackensack Meridian Ambulatory Care, Inc. (Bayshore Healthcare Center)
• Hackensack Meridian Living at Holmdel, LLC (Villas of Holmdel)
• Nicole Hadjiloucas
• David Handlin, MD
• Iftikhar Haq
• Harry John Coniaris MD PC
• Aziza Hassan
• HB Group, Inc
• HCC, LLC (Care One at Holmdel)
• Health Management Corporation PC

• Substance Use Disorder Rehabilitation Clinic/Center in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.