NPIMap

Organization Active NPI

Occupational Training Center of Burlington County

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Willingboro, NJ
National Provider Identifier
1265816557
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
OCCUPATIONAL TRAINING CENTER OF BURLINGTON COUNTY
Practice address
61 Melbourne LN
Willingboro, NJ 08046-3144
Phone
(609) 267-6677
Fax
(609) 265-8418
NPI assigned
Jul 16, 2015
Last updated
Jul 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Authorized official

Name
Mr. Jeffrey Lynne Haines, MA
Title
Ceo
Phone
(609) 267-6677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

61 Melbourne LN
Willingboro, NJ 08046-3144

Mailing address

2 Manhattan Dr
Burlington, NJ 08016-4120
Phone (609) 267-6677

National Provider Directory

National Provider Directory
Tax ID family
Occupational Training Center39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1265816557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MANHATTAN DR",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164120",
            "telephone_number": "609-267-6677",
            "fax_number": "609-265-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MELBOURNE LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463144",
            "telephone_number": "609-267-6677",
            "fax_number": "609-265-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL TRAINING CENTER OF BURLINGTON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-267-6677",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.