NPIMap

Organization Active NPI

Guided Life Structures

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Somerville, NJ
National Provider Identifier
1427567833
Registry record updated Oct 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
2000133 Issued in NJ
Legal business name
GUIDED LIFE STRUCTURES
Practice address
75 Veterans Memorial Dr E Ste 205
Somerville, NJ 08876-2949
Phone
(908) 704-0011
Fax
(908) 704-0011
NPI assigned
Sep 28, 2017
Last updated
Oct 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2017

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

Authorized official

Name
Eileen Weber
Title
Executor Director
Phone
(908) 704-0011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 2000133 NJ Primary

Addresses

Primary practice location

75 Veterans Memorial Dr E Ste 205
Somerville, NJ 08876-2949

Mailing address

75 Veterans Memorial Dr E Ste 205
Somerville, NJ 08876-2949
Phone (908) 704-0011

Other identifiers 1

IdentifierTypeStateIssuer
0116378OtherNJNPI

National Provider Directory

National Provider Directory
Tax ID family
Guided Life Structures4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508025600000",
    "number": "1427567833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 VETERANS MEMORIAL DR E STE 205",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762949",
            "telephone_number": "908-704-0011",
            "fax_number": "908-704-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 VETERANS MEMORIAL DR E STE 205",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762949",
            "telephone_number": "908-704-0011",
            "fax_number": "908-704-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDED LIFE STRUCTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2017-10-15",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "EXECUTOR DIRECTOR",
        "authorized_official_telephone_number": "908-704-0011"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "2000133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "0116378",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2017; 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.