NPIMap

Organization Active NPI

Union Association of the Children's Home of Burlington County

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Titusville, NJ
National Provider Identifier
1508147588
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
1100 Issued in NJ
Legal business name
UNION ASSOCIATION OF THE CHILDREN'S HOME OF BURLINGTON COUNTY
Practice address
41 Church Road
Titusville, NJ 08560-1804
Phone
(609) 267-1550
Fax
(609) 261-5672
NPI assigned
Sep 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Authorized official

Name
Mr. Roy A. Leitstein, M.S.
Title
Executive Director
Phone
(609) 267-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 1100 NJ Primary

Addresses

Primary practice location

41 Church Road
Titusville, NJ 08560-1804

Mailing address

243 Pine St
Mount Holly, NJ 08060-2201
Phone (609) 267-1550

Other identifiers 1

IdentifierTypeStateIssuer
0268798MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Union Association of the Children's Home116 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

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1508147588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 PINE ST",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080602201",
            "telephone_number": "609-267-1550",
            "fax_number": "609-261-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CHURCH ROAD",
            "city": "TITUSVILLE",
            "state": "NJ",
            "postal_code": "085601804",
            "telephone_number": "609-267-1550",
            "fax_number": "609-261-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION ASSOCIATION OF THE CHILDREN'S HOME OF BURLINGTON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "LEITSTEIN",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-267-1550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "1100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0268798",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.