Organization Active NPI

Purvis'S Retreat

  • Case Manager/Care Coordinator
  • Bridgeton, NJ
National Provider Identifier
1508188541
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
PURVIS'S RETREAT
Practice address
20 Thoroughbred CT
Bridgeton, NJ 08302-3553
Phone
(856) 495-8385
NPI assigned
Feb 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Authorized official

Name
Mr. Purvis J Hatcher
Title
President
Phone
(856) 495-8385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

20 Thoroughbred CT
Bridgeton, NJ 08302-3553

Mailing address

20 Thoroughbred CT
Bridgeton, NJ 08302-3553
Phone (856) 495-8385

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1508188541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 THOROUGHBRED CT",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023553",
            "telephone_number": "856-495-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 THOROUGHBRED CT",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023553",
            "telephone_number": "856-495-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURVIS'S RETREAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "HATCHER",
        "authorized_official_first_name": "PURVIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-495-8385",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.