Prasada Center for Wellbeing
Organization Active NPI Community/Behavioral Health Agency · Wharton, NJ
NPI 1477058568 · NPPES record last updated Mar 29, 2018
Key facts
- NPI
- 1477058568
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- PRASADA CENTER FOR WELLBEING
- Practice address
- 112 E Shawnee TRL
Wharton, NJ 07885-2920 - Phone
- (973) 685-5668
- Fax
- (866) 686-3057
- NPI assigned
- Mar 29, 2018
- Organization subpart
- No
Authorized official
- Name
- Ms. Katherine V Sheldon, MS. MBA
- Title
- Owner/Director
- Phone
- (973) 685-5668
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Prasada Center for Wellbeing
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Respite Care | 385H00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X |
Addresses
Primary practice location
112 E Shawnee TRL
Wharton, NJ 07885-2920
Mailing address
112 E Shawnee TRL
Wharton, NJ 07885-2920
Phone (973) 685-5668
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0489981 | Medicaid | NJ | |
| 0532614 | Medicaid | NJ |
Other names
- Prasada In Home
Other providers in Wharton, NJ
- Pinakin Pathak
- Gloria E. Patino
- Pillar Care Continuum
- Bradie Sarah Polllard
- Prasada Center for Wellbeing
- Pratik Inc
- Chandani Shaya Devi Ram
- RC Nayar MD
- Fernando Reyes
- Ridha,LLC
All providers in Wharton, NJ · Community/Behavioral Health Agency in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.