LDS Partners in Care LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

LDS PARTNERS IN CARE LLC

Practice address

60 Nevada St Apt 206
Apt 206
Newark, NJ 07102-2539

Phone

(973) 432-6271

NPI assigned

Aug 27, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Lynette Jackson

Title

Ceo

Phone

(973) 432-6271

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LDS PARTNERS IN CARE LLC Other name

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

{
    "created_epoch": "1598486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1366055535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 NEVADA ST APT 206",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022539",
            "telephone_number": "973-432-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 NEVADA ST APT 206",
            "address_2": "APT 206",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022539",
            "telephone_number": "973-432-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDS PARTNERS IN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-27",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-08",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-432-6271",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MEDICAID",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LDS PARTNERS IN CARE LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Newark, NJ
• Providers in Newark, NJ by specialty
• Developmentally Disabled Services Day Training Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.