NPIMap

Organization Active NPI

Community Care Inc.

  • Substance Abuse Rehabilitation Facility
  • Lakewood, NJ
National Provider Identifier
1336584705
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
COMMUNITY CARE INC.
Doing business as
Community Rehab
Practice address
525 E County Line Rd Ste 4
Lakewood, NJ 08701-1405
Phone
(732) 987-5038
NPI assigned
Apr 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Martin Coleman
Title
Ceo
Phone
(732) 987-5038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

525 E County Line Rd Ste 4
Lakewood, NJ 08701-1405

Mailing address

3443 Rte 9 Ste 9
Freehold, NJ 07728-9153
Phone (732) 987-5038

Other names 1

  • Community Rehab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Care Behavioral Health5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

525 E County Line Rd
Ste 4
Lakewood, NJ 08701
Phone (732) 987-5038

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1336584705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 RTE 9 STE 9",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077289153",
            "telephone_number": "732-987-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E COUNTY LINE RD STE 4",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011405",
            "telephone_number": "732-987-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-987-5038"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.