Organization Active NPI

Nazarene Community Development Foundation Inc.

  • Adult Day Care Clinic/Center
  • Camden, NJ
National Provider Identifier
1457849416
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
NAZARENE COMMUNITY DEVELOPMENT FOUNDATION INC.
Practice address
1500 S 8TH St
Camden, NJ 08104-1424
Phone
(856) 365-0642
NPI assigned
Apr 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Authorized official

Name
Dyheim Watson Sr.
Title
Ceo
Phone
(856) 365-0642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

1500 S 8TH St
Camden, NJ 08104-1424

Mailing address

1500 S 8TH St
Camden, NJ 08104-1424
Phone (856) 365-0642

National Provider Directory

National Provider Directory

Locations

1500 S 8th St
Camden, NJ 08104
Phone (856) 365-0642

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1457849416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S 8TH ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081041424",
            "telephone_number": "856-365-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S 8TH ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081041424",
            "telephone_number": "856-365-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZARENE COMMUNITY DEVELOPMENT FOUNDATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "DYHEIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-365-0642",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.