MLM L.L.C.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

MLM L.L.C.

Practice address

115 Mountain Lake Rd
Little Egg Harbor TWP, NJ 08087-3702

Phone

(732) 395-9395

NPI assigned

Oct 25, 2019

Organization subpart

Yes

Parent organization

MLM, LLCAs reported in NPPES

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

Authorized official

Name

Maria L Mancuso

Title

Ceo

Phone

(732) 395-9395

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

MLM LLC2 organizations share this tax ID, including this one

Part of

MLM LLC

Other organizations with this tax ID 1

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

• MLM L.L.C.

  • Developmentally Disabled Services Day Training Agency
  • Colonia, NJ
  • NPI 1609255207
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• MLM L.L.C.

  • Developmentally Disabled Services Day Training Agency
  • Colonia, NJ
  • NPI 1609255207
  NPPES parent name

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1275176992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 ARCHANGELA AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070671731",
            "telephone_number": "732-395-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MOUNTAIN LAKE RD",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080873702",
            "telephone_number": "732-395-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLM L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MLM, LLC",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "MANCUSO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-395-9395"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlmancuso@mlmnj.org",
            "affiliation": "N",
            "address_1": "115 Mountain Lake Rd",
            "city": "Little Egg Harbor Twp",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080873702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Little Egg Harbor TWP, NJ
• Providers in Little Egg Harbor TWP, NJ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.