NPIMap

Organization Active NPI

Seabrook House, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Shrewsbury, NJ
National Provider Identifier
1336769918
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SEABROOK HOUSE, INC.
Doing business as
Seabrook
Practice address
21 White St
Shrewsbury, NJ 07702-4440
Phone
(856) 364-1794
NPI assigned
Apr 23, 2020
Organization subpart
Yes
Parent organization
SEABROOK HOUSE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Mrs. Crystal Smith
Title
Quality Manager
Phone
(856) 455-7575

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

21 White St
Shrewsbury, NJ 07702-4440

Mailing address

133 Polk LN
Bridgeton, NJ 08302-5905
Phone (856) 455-7575

Other names 1

  • Seabrook Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Seabrook House Inc5 organizations share this tax ID, including this one
Part of
Seabrook House Inc

Other organizations with this tax ID 4

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

Locations

21 White St
Shrewsbury, NJ 07702
Phone (732) 747-4714

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1336769918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 POLK LN",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083025905",
            "telephone_number": "856-455-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WHITE ST",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024440",
            "telephone_number": "856-364-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEABROOK HOUSE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEABROOK HOUSE, INC.",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "QUALITY MANAGER",
        "authorized_official_telephone_number": "856-455-7575",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seabrook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shrewsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.