Organization Active NPI

Arc of Camden County Stratford Ave Supported Living

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Stratford, NJ
National Provider Identifier
1336848746
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
ARC OF CAMDEN COUNTY STRATFORD AVE SUPPORTED LIVING
Practice address
115 Wright Ave Apt C23
Stratford, NJ 08084-1133
Phone
(856) 767-3650
NPI assigned
Feb 24, 2023
Organization subpart
Yes
Parent organization
THE ARC OF CAMDEN COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Michelle Schwarz
Title
Medical Billing
Phone
(856) 768-8801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

115 Wright Ave Apt C23
Stratford, NJ 08084-1133

Mailing address

215 W White Horse Pike
Berlin, NJ 08009-1132

National Provider Directory

National Provider Directory
Tax ID family
Arc of Camden County - Heather Sa65 organizations share this tax ID, including this one
Part of
Arc of Camden County - Heather Sa

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": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1336848746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W WHITE HORSE PIKE",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080091132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WRIGHT AVE APT C23",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841133",
            "telephone_number": "856-767-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC OF CAMDEN COUNTY STRATFORD AVE SUPPORTED LIVING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE ARC OF CAMDEN COUNTY",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "SCHWARZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MEDICAL BILLING",
        "authorized_official_telephone_number": "856-768-8801"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.