Mending Cove LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

MENDING COVE LLC

Practice address

106 Thomson Ave
Paulsboro, NJ 08066-1519

Phone

(856) 803-9958

NPI assigned

Aug 25, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Melinda Taylor, BA, MSP

Title

Owner

Phone

(856) 803-9958

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1487267076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 THORN LN APT 11",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197114435",
            "telephone_number": "856-803-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 THOMSON AVE",
            "city": "PAULSBORO",
            "state": "NJ",
            "postal_code": "080661519",
            "telephone_number": "856-803-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING COVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-803-9958",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA, MSP"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Lee, MS, LAT, ATC
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• Manor Care-West Deptford of Paulsboro NJ LLC (ManorCare Health Services)
• Erica M Milas, DO
• Nadia Mudasir, OTR
• Phyllis Nehra, MS, LPC
• Sheetal Parikh, MOT, OTRL
• Vipulkumar T Patel, RPH

• Mental Illness Community Based Residential Treatment Facility in Paulsboro, NJ
• Providers in Paulsboro, NJ by specialty
• Mental Illness Community Based Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.