NPIMap

Organization Active NPI

The, Warren County Chapter

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Phillipsburg, NJ
National Provider Identifier
1538694492
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
GH579 Issued in NJ
Legal business name
THE, WARREN COUNTY CHAPTER
Practice address
17 Hampton Ter
Phillipsburg, NJ 08865-2015
Phone
(908) 859-3846
Fax
(908) 859-8593
NPI assigned
Apr 27, 2017
Last updated
Jun 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Mr. John David Whitehead
Title
Ceo
Phone
(908) 689-7525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH579 NJ Primary

Addresses

Primary practice location

17 Hampton Ter
Phillipsburg, NJ 08865-2015

Mailing address

319 W Washington Ave
Washington, NJ 07882-2157
Phone (908) 689-7525

Other identifiers 9

IdentifierTypeStateIssuer
1982143988MedicaidNJ
1164954384MedicaidNJ
1063950012MedicaidNJ
1073051025MedicaidNJ
1396284097MedicaidNJ
1508304395MedicaidNJ
1710229778MedicaidNJ
1962940742MedicaidNJ
1821538638MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
The Arc Warren County Chapter35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1538694492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 W WASHINGTON AVE",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078822157",
            "telephone_number": "908-689-7525",
            "fax_number": "908-689-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 HAMPTON TER",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652015",
            "telephone_number": "908-859-3846",
            "fax_number": "908-859-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE, WARREN COUNTY CHAPTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-689-7525",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982143988",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164954384",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063950012",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073051025",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396284097",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508304395",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710229778",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962940742",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821538638",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.