NPIMap

Organization Active NPI

Willowglen Academy - NJ, Inc.

Doing business as Hampton Group Home

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Sparta, NJ
National Provider Identifier
1336387240
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
WILLOWGLEN ACADEMY - NJ, INC.
Doing business as
Hampton Group Home
Practice address
8 Wilson Dr
Sparta, NJ 07871-3400
Phone
(973) 579-3700
NPI assigned
Jan 30, 2009
Last updated
Jan 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Mrs. Jean M Manfra
Title
Executive Director
Phone
(973) 579-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

8 Wilson Dr
Sparta, NJ 07871-3400

Mailing address

8 Wilson Dr
Sparta, NJ 07871-3400
Phone (973) 579-3700

Other identifiers 1

IdentifierTypeStateIssuer
8374503MedicaidNJ

Other names 1

  • Hampton Group Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Willowglen Academy - New Jersey Inc60 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1336387240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WILSON DR",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713400",
            "telephone_number": "973-579-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 WILSON DR",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713400",
            "telephone_number": "973-579-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWGLEN ACADEMY - NJ, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "MANFRA",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-579-3700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8374503",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hampton Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparta, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.