Health Serve, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

HEALTH SERVE, LLC

Practice address

375 N Main St Ste C4
Williamstown, NJ 08094-1476

Phone

(856) 288-2878

NPI assigned

Jun 19, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Mohamed M Bah, MBA, PMP

Title

Owner

Phone

(732) 309-7098

Specialties & licenses 6

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Health Serve LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Health Serve, LLC

  • Community/Behavioral Health Agency
  • Williamstown, NJ
  • NPI 1245911536
  NPD tax ID

Locations

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1407472905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 STABLE CT",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080815672",
            "telephone_number": "732-309-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N MAIN ST STE C4",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941476",
            "telephone_number": "856-288-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SERVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2023-02-09",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "BAH",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-309-7098",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, PMP"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07249982",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SICKLERVILLE",
            "affiliation": "N",
            "endpointDescription": "Laptop",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "30 Stable Ct",
            "city": "Sicklerville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080815672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Corey Lynn Grisi, MA CCC-SLP
• Joseph Patrick Haley, DPM
• Megan Eileen Hargrave, D.O.
• Rashonda G Harmon, CPRS
• Health Serve, LLC
• Heart to Heart Health Care Services, LLC
• Heart to Heart Health Care Services, LLC
• Heart to Heart Health Care Services, LLC
• Hearts in Our Hands
• Hearty Care Homes Corporation

• Developmentally Disabled Services Day Training Agency in Williamstown, NJ
• Providers in Williamstown, 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 Feb 9, 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.