Organization Active NPI

Minos Work Program LLC

  • Day Training/Habilitation Specialist
  • Montclair, NJ
National Provider Identifier
1356012645
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Legal business name
MINOS WORK PROGRAM LLC
Practice address
16 Oak PL
Montclair, NJ 07042-3825
Phone
(862) 251-1672
NPI assigned
Sep 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Authorized official

Name
Ms. Janet Mino
Title
Ceo
Phone
(862) 251-1672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 373H00000X Primary

Addresses

Primary practice location

16 Oak PL
Montclair, NJ 07042-3825

Mailing address

16 Oak PL
Montclair, NJ 07042-3825
Phone (862) 251-1672

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1632614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1356012645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 OAK PL",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423825",
            "telephone_number": "862-251-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 OAK PL",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423825",
            "telephone_number": "862-251-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINOS WORK PROGRAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-26",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "MINO",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "862-251-1672",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.