Organization Active NPI

Serv Achievement Centers, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Long Branch, NJ
National Provider Identifier
1497276786
Registry record updated Mar 1, 2024
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
SERV ACHIEVEMENT CENTERS, INC
Practice address
243 Lenox Ave
Long Branch, NJ 07740-5022
Phone
(732) 571-2247
NPI assigned
Jun 28, 2017
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Robert Bacon
Title
Chief Operating Officer
Phone
(609) 662-3202

National Provider Directory

National Provider Directory
Tax ID family
Serv Achievement Centers Inc51 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

243 Lenox Ave
Long Branch, NJ 07740-5022

Mailing address

20 Scotch Rd
Ewing, NJ 08628-2529

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 1, 2024.

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1497276786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SCOTCH RD",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086282529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 LENOX AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077405022",
            "telephone_number": "732-571-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERV ACHIEVEMENT CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "609-662-3202"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.