Canelaville Health Care

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

CANELAVILLE HEALTH CARE

Practice address

611 Hidden Village Dr
Perth Amboy, NJ 08861-3367

Phone

(732) 925-2407

NPI assigned

Nov 18, 2020

Last updated

Nov 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rolffi Canela, MBA

Title

Executive Director

Phone

(732) 925-2407

Specialties & licenses 6

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606435200000",
    "number": "1447853965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 BROADWAY UNIT 9188",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071047408",
            "telephone_number": "732-925-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 HIDDEN VILLAGE DR",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613367",
            "telephone_number": "732-925-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANELAVILLE HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A",
        "authorized_official_last_name": "CANELA",
        "authorized_official_first_name": "ROLFFI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-925-2407",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "canelaville@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Company email",
            "address_1": "611 Hidden Village Dr",
            "city": "Perth Amboy",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088613367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Lodging Provider in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Lodging Provider in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2020; 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.