NPIMap

Organization Active NPI

Special Homes of New Jersey

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Randolph, NJ
National Provider Identifier
1235689753
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
SPECIAL HOMES OF NEW JERSEY
Practice address
292 Route 10
Randolph, NJ 07869-2206
Phone
(973) 886-1953
Fax
(973) 664-1795
NPI assigned
Oct 7, 2016
Last updated
Jul 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Authorized official

Name
Terrence McKeon, M.ED.
Title
Executive Director
Phone
(973) 886-1953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU Primary

Addresses

Primary practice location

292 Route 10
Randolph, NJ 07869-2206

Mailing address

23 Zander LN
Randolph, NJ 07869-2306
Phone (973) 886-1953

National Provider Directory

National Provider Directory
Tax ID family
Special Homes of New Jersey Inc33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1235689753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ZANDER LN",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692306",
            "telephone_number": "973-886-1953",
            "fax_number": "973-664-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 ROUTE 10",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692206",
            "telephone_number": "973-886-1953",
            "fax_number": "973-664-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL HOMES OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "MCKEON",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-886-1953",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.