Standard Residential Care LLC

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

Legal business name

STANDARD RESIDENTIAL CARE LLC

Practice address

92 Burnett Ave Apt 306
Maplewood, NJ 07040-2984

Phone

(862) 684-0895

NPI assigned

Dec 7, 2020

Last updated

Sep 11, 2025By 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

Bebytho Timothe, LPN

Title

Managing Member

Phone

(862) 684-0895

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1245836287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 BURNETT AVE APT 306",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402984",
            "telephone_number": "862-684-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 BURNETT AVE APT 306",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402984",
            "telephone_number": "862-684-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDARD RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2025-09-11",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "TIMOTHE",
        "authorized_official_first_name": "BEBYTHO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "862-684-0895",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.