NPIMap

Organization Active NPI

Special Homes of New Jersey, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Englewood, NJ
National Provider Identifier
1497260277
Registry record updated Dec 3, 2017
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
356 W Englewood Ave
Englewood, NJ 07631-3239
Phone
(973) 886-1953
Fax
(976) 664-1795
NPI assigned
Dec 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2017

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 Primary

Addresses

Primary practice location

356 W Englewood Ave
Englewood, NJ 07631-3239

Mailing address

92 Broadway
Denville, NJ 07834-2761
Phone (973) 886-1953

Other identifiers 1

IdentifierTypeStateIssuer
0530549MedicaidNJ

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": "1512259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512259200000",
    "number": "1497260277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 BROADWAY",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342761",
            "telephone_number": "973-886-1953",
            "fax_number": "973-664-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 W ENGLEWOOD AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313239",
            "telephone_number": "973-886-1953",
            "fax_number": "976-664-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL HOMES OF NEW JERSEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-03",
        "last_updated": "2017-12-03",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0530549",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2017; 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.