Organization Active NPI

Prime Supports & Care LLC

  • Developmentally Disabled Services Day Training Agency
  • Watchung, NJ
National Provider Identifier
1548077985
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PRIME SUPPORTS & CARE LLC
Practice address
9107 Summit Way
Watchung, NJ 07069-7401
Phone
(917) 455-5732
NPI assigned
Dec 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Mr. Akinwole Fellix Alewi
Title
President
Phone
(917) 455-5732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

9107 Summit Way
Watchung, NJ 07069-7401

Mailing address

9107 Summit Way
Watchung, NJ 07069-7401
Phone (917) 455-5732

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1548077985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9107 SUMMIT WAY",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070697401",
            "telephone_number": "917-455-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9107 SUMMIT WAY",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070697401",
            "telephone_number": "917-455-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME SUPPORTS & CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "ALEWI",
        "authorized_official_first_name": "AKINWOLE",
        "authorized_official_middle_name": "FELLIX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-455-5732",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watchung, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.