Active NPI
Be Whole Incorporated
- Developmentally Disabled Services Day Training Agency
- Hackensack, NJ
National Provider Identifier
1386002541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- BE WHOLE INCORPORATED
- Practice address
- 260 Central Ave
Hackensack, NJ 07601-2428 - Phone
- (201) 490-7792
- NPI assigned
- Feb 3, 2016
- Last updated
- Feb 3, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sedrick D Sims
- Title
- Vice President
- Phone
- (201) 773-6328
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | NU | Primary | |
| In Home Supportive Care Agency | 253Z00000X | NU |
Addresses
Primary practice location
260 Central Ave
Hackensack, NJ 07601-2428
Mailing address
75 Palsa Ave
Elmwood Park, NJ 07407-1213
Phone (201) 773-6328
National Provider Directory
National Provider DirectoryLocations
260 Central Ave
Hackensack, NJ 07601
Phone (201) 490-7792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454457600000",
"number": "1386002541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 PALSA AVE",
"city": "ELMWOOD PARK",
"state": "NJ",
"postal_code": "074071213",
"telephone_number": "201-773-6328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 CENTRAL AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076012428",
"telephone_number": "201-490-7792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BE WHOLE INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-03",
"last_updated": "2016-02-03",
"status": "A",
"authorized_official_last_name": "SIMS",
"authorized_official_first_name": "SEDRICK",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "201-773-6328",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.