Organization Active NPI

Home Away From Home

  • Community/Behavioral Health Agency
  • Mullica Hill, NJ
National Provider Identifier
1326722059
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HOME AWAY FROM HOME
Practice address
174 Swedesboro Rd
Mullica Hill, NJ 08062-1822
Phone
(609) 626-2122
NPI assigned
Jun 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Ayah Mahmoud Zayyad
Title
Owner
Phone
(609) 626-2122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

174 Swedesboro Rd
Mullica Hill, NJ 08062-1822

Mailing address

302 Holly St
Glassboro, NJ 08028-2227
Phone (609) 626-2122

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1326722059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 HOLLY ST",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080282227",
            "telephone_number": "609-626-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 SWEDESBORO RD",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080621822",
            "telephone_number": "609-626-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME AWAY FROM HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "ZAYYAD",
        "authorized_official_first_name": "AYAH",
        "authorized_official_middle_name": "MAHMOUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-626-2122"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.

Verify at the official NPI Registry.