NPIMap

Organization Active NPI

Special Homes of New Jersey, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Budd Lake, NJ
National Provider Identifier
1467979583
Registry record updated Jun 16, 2018
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
SPECIAL HOMES OF NEW JERSEY, INC.
Practice address
74 Village GRN Apt G
Budd Lake, NJ 07828-1379
Phone
(973) 886-1953
NPI assigned
Aug 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Terrence McKeon
Title
Executive Director
Phone
(973) 886-1953

Specialties & licenses 1

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

Addresses

Primary practice location

74 Village GRN Apt G
Budd Lake, NJ 07828-1379

Mailing address

74 Village Green
Building 65 Apartment G
Budd Lake, NJ 07828-1379

Other identifiers 1

IdentifierTypeStateIssuer
1639500796MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Special Homes of New Jersey Inc33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1467979583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 VILLAGE GREEN",
            "address_2": "BUILDING 65 APARTMENT G",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078281379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 VILLAGE GRN APT G",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078281379",
            "telephone_number": "973-886-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL HOMES OF NEW JERSEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MCKEON",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-886-1953"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639500796",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Budd Lake, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.