NPIMap

Organization Active NPI

Community Quest Woodbine

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Woodbine, NJ
National Provider Identifier
1427438357
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
COMMUNITY QUEST WOODBINE
Practice address
1449 Dehirsch Ave Apt 5
Woodbine, NJ 08270-2454
Phone
(609) 861-3044
NPI assigned
Jun 5, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Daniel Kelly
Title
Chief Exceutive Officer
Phone
(609) 646-0388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

1449 Dehirsch Ave Apt 5
Woodbine, NJ 08270-2454

Mailing address

6814 Tilton Rd
Egg Harbor Township, NJ 08234-4490
Phone (609) 646-0388

Other practice location 1

1449 De Hirsch Avenue
Woodbine, NJ 08270
Phone (609) 646-0388

National Provider Directory

National Provider Directory
Tax ID family
Communtity Quest Cornell17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1427438357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6814 TILTON RD",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082344490",
            "telephone_number": "609-646-0388",
            "fax_number": "609-646-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 DEHIRSCH AVE APT 5",
            "city": "WOODBINE",
            "state": "NJ",
            "postal_code": "082702454",
            "telephone_number": "609-861-3044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1449 De Hirsch Avenue",
            "address_purpose": "LOCATION",
            "city": "Woodbine",
            "state": "NJ",
            "postal_code": "08270",
            "country_code": "US",
            "telephone_number": "609-646-0388",
            "fax_number": "609-646-5622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY QUEST WOODBINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIEF EXCEUTIVE OFFICER",
        "authorized_official_telephone_number": "609-646-0388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbine, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.