NPIMap

Organization Active NPI

Caring Family Community Services

  • Community/Behavioral Health Agency
  • Jackson, NJ
National Provider Identifier
1558407528
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1272517 Issued in NJ
Legal business name
CARING FAMILY COMMUNITY SERVICES
Practice address
1021 W Commodore Blvd
Jackson, NJ 08527-5372
Phone
(732) 780-2799
Fax
(732) 780-2899
NPI assigned
Jan 29, 2007
Last updated
Jul 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Authorized official

Name
Mr. Randy Pittman, RN,MSN,MBA
Title
Business Adminstrator
Phone
(732) 780-2799

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NJ
Social Worker 104100000X NJ
Behavior Analyst 103K00000X NJ
Community/Behavioral Health Agency 251S00000X 1272517 NJ Primary

Addresses

Primary practice location

1021 W Commodore Blvd
Jackson, NJ 08527-5372

Mailing address

1021 W Commodore Blvd
Jackson, NJ 08527-5372
Phone (732) 780-2799

Other identifiers 3

IdentifierTypeStateIssuer
0057151MedicaidNJ
0019895MedicaidNJ
0382485MedicaidNJ

Other names 1

  • Caring Family Mentors Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240305001282 NJ Part B Supplier - Clinic/Group Practice 7618312232 Receives reassigned benefits from 6 practitioners
Practice locations: Jackson, NJ

National Provider Directory

National Provider Directory
Tax ID family
Caring Family Community Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

139 Gaither Dr
Ste A
Mount Laurel, NJ 08054

Practitioners & affiliated clinicians

Practitioners 12

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1558407528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W COMMODORE BLVD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275372",
            "telephone_number": "732-780-2799",
            "fax_number": "732-780-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 W COMMODORE BLVD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275372",
            "telephone_number": "732-780-2799",
            "fax_number": "732-780-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING FAMILY COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "BUSINESS ADMINSTRATOR",
        "authorized_official_telephone_number": "732-780-2799",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN,MSN,MBA"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "1272517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0057151",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019895",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0382485",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring Family Mentors",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.