Active NPI
Health Serve, LLC
- Community/Behavioral Health Agency
- Williamstown, NJ
National Provider Identifier
1245911536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- HEALTH SERVE, LLC
- Practice address
- 375 N Main St Ste C4
Williamstown, NJ 08094-1476 - Phone
- (856) 288-2878
- NPI assigned
- Jul 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mohamed Muctarr Bah
- Title
- Ceo
- Phone
- (732) 309-7098
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Early Intervention Provider Agency | 252Y00000X | |||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
375 N Main St Ste C4
Williamstown, NJ 08094-1476
Mailing address
375 N Main St Ste C4
Williamstown, NJ 08094-1476
Phone (856) 288-2878
National Provider Directory
National Provider Directory- Tax ID family
- Health Serve LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Williamstown, NJ
- NPI 1407472905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690502400000",
"number": "1245911536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 N MAIN ST STE C4",
"city": "WILLIAMSTOWN",
"state": "NJ",
"postal_code": "080941476",
"telephone_number": "856-288-2878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 N MAIN ST STE C4",
"city": "WILLIAMSTOWN",
"state": "NJ",
"postal_code": "080941476",
"telephone_number": "856-288-2878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH SERVE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-28",
"last_updated": "2023-07-28",
"certification_date": "2023-07-26",
"status": "A",
"authorized_official_last_name": "BAH",
"authorized_official_first_name": "MOHAMED",
"authorized_official_middle_name": "MUCTARR",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "732-309-7098",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.