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Willowglen Academy-New Jersey, Inc.

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Plainfield, NJ

NPI 1275918963 · NPPES record last updated Jul 23, 2015

Key facts

NPI
1275918963
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Legal business name
WILLOWGLEN ACADEMY-NEW JERSEY, INC.
Practice address
628 Terrill Road
Plainfield, NJ 07062
Phone
(973) 579-3700
Fax
(973) 579-1786
NPI assigned
Jul 23, 2015
Organization subpart
Yes
Parent organization (as reported)
WILLOWGLEN ACADEMY-NEW JERSEY, INC.

Authorized official

Name
Mrs. Patricia Bates
Title
Controller
Phone
(973) 579-3700

Corporate family (same tax ID) 24

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

National Provider Directory

Tax ID family
Willowglen Academy-NJ Inc (60 organizations share this tax ID)
Part of
Willowglen Academy-NJ Inc

Specialties & licenses

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

Addresses

Primary practice location

628 Terrill Road
Plainfield, NJ 07062

Mailing address

8 Wilson Drive
Sparta, NJ 07871-3491
Phone (973) 579-3700

Other names

  • WGA Plainfield ECS Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 23, 2015.

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1275918963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WILSON DRIVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713491",
            "telephone_number": "973-579-3700",
            "fax_number": "973-579-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 TERRILL ROAD",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "07062",
            "telephone_number": "973-579-3700",
            "fax_number": "973-579-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWGLEN ACADEMY-NEW JERSEY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLOWGLEN ACADEMY-NEW JERSEY, INC.",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "973-579-3700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WGA Plainfield ECS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plainfield, NJ

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Sources for this page

Verify at the official NPI Registry.