Organization Active NPI

Footprints Hamilton Operations LLC

Doing business as footprints to recovery

  • Substance Abuse Rehabilitation Facility
  • Hamilton, NJ
National Provider Identifier
1194142067
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
2000585 Issued in NJ
Legal business name
FOOTPRINTS HAMILTON OPERATIONS LLC
Doing business as
footprints to recovery
Practice address
3635 Quakerbridge Rd
Suite 18
Hamilton, NJ 08619-1247
Phone
(609) 249-4645
NPI assigned
Mar 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Authorized official

Name
Hirsch Chinn, COO
Title
Owner
Phone
(609) 249-4645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 2000585 NJ Primary

Addresses

Primary practice location

3635 Quakerbridge Rd
Suite 18
Hamilton, NJ 08619-1247

Mailing address

3635 Quakerbridge Road
Suite 18
Hamilton, NJ 08619
Phone (609) 249-4645

Other names 1

  • footprints to recovery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Footprints Hamilton Operations LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3635 Quakerbridge Rd
Ste 18
Hamilton, NJ 08619
Phone (609) 249-4645

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1194142067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 QUAKERBRIDGE ROAD",
            "address_2": "SUITE 18",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08619",
            "telephone_number": "609-249-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 QUAKERBRIDGE RD",
            "address_2": "SUITE 18",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191247",
            "telephone_number": "609-249-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTPRINTS HAMILTON OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "CHINN",
        "authorized_official_first_name": "HIRSCH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-249-4645",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NJ",
            "license": "2000585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "footprints to recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.