Organization Active NPI

Adult Independent Services

  • Developmentally Disabled Services Day Training Agency
  • Linwood, NJ
National Provider Identifier
1558061630
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ADULT INDEPENDENT SERVICES
Doing business as
Adult Independent Services
Practice address
1637 Franklin Blvd
Linwood, NJ 08221-2219
Phone
(954) 309-3517
NPI assigned
Mar 7, 2023
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Ms. Debra FreedNPI 1619677895
Title
Founder
Phone
(954) 541-7765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1637 Franklin Blvd
Linwood, NJ 08221-2219

Mailing address

2600 Tilton Rd # 1093
Egg Harbor Township, NJ 08234-1831
Phone (954) 541-7765

Other names 1

  • Adult Independent Services Doing business as

National Provider Directory

National Provider Directory

Locations

2600 Tilton Rd
#1093
Egg Harbor Township, NJ 08234

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1558061630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 TILTON RD # 1093",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082341831",
            "telephone_number": "954-541-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 FRANKLIN BLVD",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212219",
            "telephone_number": "954-309-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT INDEPENDENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FREED",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "954-541-7765",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Independent Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Linwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.