Women at Your Side and Community Services LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

WOMEN AT YOUR SIDE AND COMMUNITY SERVICES LLC

Practice address

110 Dawn Rd
Milford, NJ 08848-1134

Phone

(908) 347-1290

NPI assigned

Sep 21, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Vernell Mackie, CPLC, CCTS, CDVS

Title

Co-Owner

Phone

(862) 704-4829

Specialties & licenses 2

Addresses

Other names 1

• Women at Your Side and Community Services LLC Former legal business name

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1326761651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 MERCER ST",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088653132",
            "telephone_number": "862-704-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DAWN RD",
            "city": "MILFORD",
            "state": "NJ",
            "postal_code": "088481134",
            "telephone_number": "908-347-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN AT YOUR SIDE AND COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "MACKIE",
        "authorized_official_first_name": "VERNELL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "862-704-4829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CPLC, CCTS, CDVS"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women at Your Side and Community Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• US Healthcare Supply LLC
• Patricia Vokes
• Ashley Anne Volpe, PHARMD
• Patricia Ann Watts-Scheffel, LCSW
• Wildflowers Wellness (Nourish to Flourish)

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Milford, NJ
• Providers in Milford, NJ by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.