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Special Homes of New Jersey, Inc.

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bogota, NJ

NPI 1578080701 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1578080701
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Legal business name
SPECIAL HOMES OF NEW JERSEY, INC.
Practice address
62 Linwood Ave
Bogota, NJ 07603-1427
Phone
(973) 886-1953
NPI assigned
Aug 28, 2017
Organization subpart
No

Authorized official

Name
Terrence McKeon
Title
Executive Director
Phone
(973) 886-1953

Corporate family (same tax ID) 32

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

View all 32

National Provider Directory

Tax ID family
Special Homes of New Jersey Inc (33 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

62 Linwood Ave
Bogota, NJ 07603-1427

Mailing address

62 Linwood Ave
Bogota, NJ 07603-1427
Phone (973) 886-1953

Other identifiers

IdentifierTypeStateIssuer
1639500796MedicaidNJ

Other providers in Bogota, NJ

All providers in Bogota, NJ · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey

Sources for this page

Verify at the official NPI Registry.