Haddon House Adult Medical Day Care, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

158335 Issued in NJ

Legal business name

HADDON HOUSE ADULT MEDICAL DAY CARE, LLC

Practice address

1470 Haddon Ave
Camden, NJ 08103-3121

Phone

(856) 964-3100

Fax

(856) 964-3221

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Roosevelt Nesmith

Title

Managing Partner

Phone

(856) 964-3100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Haddon Renaissance Adult Day Center Doing business as

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235257940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 HADDON AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081033121",
            "telephone_number": "856-964-3100",
            "fax_number": "856-964-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 HADDON AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081033121",
            "telephone_number": "856-964-3100",
            "fax_number": "856-964-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADDON HOUSE ADULT MEDICAL DAY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NESMITH",
        "authorized_official_first_name": "ROOSEVELT",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "856-964-3100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "158335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0106062",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haddon Renaissance Adult Day Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Allison Haage, PSYD
• Ghassan Chehadeh Habib, M.D.
• Michael Isaac Hackman, M.D
• Ghada Haddad, MD
• Haddon Emergency Physicians LLC
• Mindy Susan Haenn, PA-C
• Tiffany Haer, APN, FNP
• Corynda Hagamin, M.A.
• Iris Hagans, M.D.
• Anthony Nelson Hage, MD

• Adult Day Care Clinic/Center in Camden, NJ
• Providers in Camden, NJ by specialty
• Adult Day Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.