Organization Active NPI

Anchor Life Support Services LLC

  • Developmentally Disabled Services Day Training Agency
  • Weehawken, NJ
National Provider Identifier
1366396269
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ANCHOR LIFE SUPPORT SERVICES LLC
Practice address
5 Port Imperial Blvd Apt 126
Weehawken, NJ 07086-7680
Phone
(646) 669-3664
Fax
(646) 669-3664
NPI assigned
Feb 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
Cindy Adom
Title
Director
Phone
(646) 669-3664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

5 Port Imperial Blvd Apt 126
Weehawken, NJ 07086-7680

Mailing address

5 Port Imperial Blvd Apt 126
Weehawken, NJ 07086-7680
Phone (646) 669-3664

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1772064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1366396269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PORT IMPERIAL BLVD APT 126",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070867680",
            "telephone_number": "646-669-3664",
            "fax_number": "646-669-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PORT IMPERIAL BLVD APT 126",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070867680",
            "telephone_number": "646-669-3664",
            "fax_number": "646-669-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR LIFE SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-26",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "ADOM",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "646-669-3664"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weehawken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.